Bilingual Healthcare Billing & Eligibility Specialist

ARStrat LLC; East Meadow (NY); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

Comprehensive Health Coverage

Life and Disability Insurance

401(k) Retirement Savings Plan

Paid Time Off (PTO)

Job summary

GetixHealth, Hospital-Based in Long Island, NY, is seeking a Customer Service Representative to ensure billing accuracy and timely payments for healthcare accounts. You will handle a high volume of calls, answer patient questions about billing, payments, claims, benefits, and coverage, and uphold GetixHealth policies and procedures while delivering exceptional service.

This full-time role requires strong communication, confidentiality, and teamwork.

Qualifications

• High School Diploma or GED; relevant work experience desired.
• Previous healthcare coverage/eligibility experience preferred.
• Proficient personal computer skills including Microsoft Office.
• Ability to maintain the highest level of confidentiality.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to work in a multi-tasked environment.
• Ability to prioritize and organize work.
• Ability to adapt to a flexible schedule.
• Ability to lift and/or move 20 pounds with or without accommodation.
• Walking is required.

Responsibilities

• Maintain consistent work activity in line with established standards, ensuring timely certification for eligibility programs.
• Retrieve, review, and forward requested records—including medical records, insurance policies, remittance advices, and itemized statements, to appropriate parties.
• Analyze, distribute, and follow up on special requests and adjustments in collaboration with hospital personnel.
• Process electronic payments, settle accounts, and set up payment arrangements on behalf of the facility.
• Accurately prepare UB04 claim forms and maintain detailed records of patient encounters.
• Maintain proactive communication with patients or their representatives throughout the eligibility process, keeping them informed of account status.
• Screen patients to assess eligibility for third-party resources and guide them through application and verification requirements.
• Effectively communicate with physicians, case managers, social workers, and hospital business office staff to resolve questions and address issues promptly.
• Educate patients and their representatives on eligibility criteria, application processes, and program requirements.
• Maintain professional relationships with patients and government agencies to ensure cooperation and compliance.
• Document all relevant patient information and work activities in accordance with company policies and systems.
• Ensure all accounts are processed following Eligibility Program standards, client expectations, and applicable federal and state regulations.
• Comply with all relevant policies, procedures, and regulations related to job duties.
• Perform additional duties as assigned by management or requested by the facility.

Skills

Customer service

Communication

Confidentiality

Teamwork

Multitasking

Adaptability

Physical stamina

Scheduling

Education

High School Diploma / GED

Tools

Microsoft Office

Job description

GetixHealth, Hospital-Based in Long Island, NY, is seeking a Customer Service Representative to ensure billing accuracy and timely payments for healthcare accounts. You will handle a high volume of calls, answer patient questions about billing, payments, claims, benefits, and coverage, and uphold GetixHealth policies and procedures while delivering exceptional service.

This full-time role requires strong communication, confidentiality, and teamwork.