Eligibility Call Center Rep

Harris Health; Houston (TX); Hybrid; USD 25,000 - 30,000; Full time

Job summary

Harris Health is seeking an Eligibility Services professional to handle telephone inquiries regarding eligibility and benefits. You will resolve client issues and guide patients through required documents to complete the eligibility process.

You will screen calls to confirm Harris County residency, inform non-residents about other resources, and monitor operational issues while ensuring data accuracy between Eligibility and EPIC systems.

Qualifications

• Education: High school diploma, or GED
• Work Experience: Two (2) years general customer services area.
• Languages: Bilingual Skills (English-Spanish or English-Vietnamese)

Responsibilities

• Answers telephone calls regarding eligibility services and/or benefits.
• Takes appropriate action to resolve client problems and ensures adherence to policy and procedure.
• Determines if the patient has third party coverage and informs patient of required documents to complete eligibility.
• Screens calls to confirm residency in Harris County and informs non-residents of other resources.
• Monitors and reports operational and procedural problems and patterns.
• Ensures medical record number in Eligibility software matches EPIC medical record numbers.

Skills

Customer service

Bilingual English-Spanish

Verbal communication

MS Word

MS Excel

Education

High school diploma or GED

Tools

MS Word

MS Excel

Job description

About Us

Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.

At Harris Health, we prioritize the well-being of our most valuable asset--our people--ensuring a culture of compassion, collaboration and excellence in serving Harris County's most in need. With integrity and accountability at our core, we commit to 'leading with love', embodying our dedication to quality care, education, and a steadfast respect for every individual's contribution to our mission.

Job Summary

Answers telephone calls regarding eligibility services and/or benefits. Takes appropriate action to resolve client problems, complaints and ensures following policy and procedure. Determines if the patient has third party coverage and informs patient of all necessary documents in order to complete their eligibility process. Screens all calls received and determines if patient is a resident of Harris County (informs non-residents of other resources available to them). Monitors and reports all operational and procedural problems and patterns. Ensures medical record number in Eligibility software matches with EPIC software medical record number.

Minimum Qualifications

• Education: High school diploma, or GED
• Work Experience: Two (2) years general customer services area.
• Languages: Bilingual Skills (English-Spanish or English-Vietnamese)

Communication Skills

• Above Average Verbal (Heavy Public Contact)
• Writing /Correspondence
• Writing/Reports
• Proficiencies: P.C., MS Word, MS Excel
• Job Attributes
• Knowledge/ Skills/ Abilities: Mathematics
• Work Schedule: Flexible, Eligible to telecommute

Other Requirements

• Must be able to interact successfully in a culturally diverse environment.
• Bilingual Testing; passing score
• OPAC Customer Service Testing; passing score

Equipment Operated

• Copier -personal computer - calculator - telephone