Eligibility Call Center Rep

Harris Health; Texas; Remote; USD 35,000 - 52,000; Full time

Job summary

Harris Health in Texas is seeking a customer-focused Eligibility Services representative to handle calls about health coverage and benefits. You will help clients complete eligibility steps, verify third-party coverage, and guide residents on required documentation.

This role supports a diverse community and relies on accurate data entry across EPIC systems. Ideal candidates have a high school diploma or GED, two years in customer service, and bilingual abilities (English-Spanish or

Qualifications

• High school diploma or GED.

Responsibilities

• Answers telephone calls regarding eligibility services and/or benefits.
• Takes appropriate action to resolve client problems and ensures policy and procedure are followed.
• Determines if patient has third party coverage and informs patient of required documents to complete eligibility.
• Screens calls to determine Harris County residency and informs non-residents of other resources.

Skills

Bilingual (Eng-Spanish)

Public contact

Writing

Education

High School Diploma or GED

Tools

MS Word

MS Excel

Job description

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