Eligibility Counselor - Full-time 5-Day Week/Weekends Required.

Eciassist; Plano (TX); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Dental and Vision

Paid time off (PTO)

401k with employer match

Job summary

Eligibility Consultants, Inc. (ECI) seeks energetic individuals to screen hospital patients for eligibility in government programs and hospital financial support options. You will work bedside, gather information, and advance applications while maintaining a respectful, HIPAA-compliant environment.

Ideal candidates communicate effectively in English and Spanish, manage caseloads with minimal delinquencies, and collaborate with teams to help uninsured patients access needed resources.

Qualifications

• Experience assisting patients with government programs.
• Ability to explain complex information in plain language.
• Comfort with English and Spanish for patient communication.
• Willingness to work in a hospital setting and follow HIPAA rules.

Responsibilities

• Meet patients bedside to assess eligibility for government programs.
• Maintain a large caseload with minimal delinquencies.
• Gather necessary information to advance applications with teamwork.
• Communicate clearly with patients in English and/or Spanish.
• Ensure compliance with HIPAA and confidentiality requirements.
• Work with limited supervision while reflecting ECI values.

Skills

Empathy

Strong communication

Bilingual English/Spanish

Team player

Problem-solving

Education

High School diploma / GED (or higher)

Tools

Microsoft Office (Outlook, Word, Excel)

Job description

Description

WELCOME TO ECI!

Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then left to return home with the burden of one more medical bill.

Since 1995, our Mission at Eligibility Consultants, Inc. (ECI) has been to assist self-pay hospital patients find the means to pay their medical bills through participation in various government assistant programs. ECI’s solutions encompass every potential self-pay patient from the lowest dollar outpatient and ER account to the most complex long-term disability.

We are looking for a few energetic, determined, and enthusiastic individuals to join our fast-paced work force. If your passion is to make a difference in the lives of others while getting paid for your efforts, look no further, this job is for you!

Job Description

The Eligibility Counselor-EC is responsible for bedside screening hospital uninsured patients and the advancement of accounts of potential eligibility of federal, state and county government assistance programs, as well as hospital financial programs.

Primary Job Duties & Responsibilities

• Meets patients by bedside to determine government program eligibility and creates collaborative teamwork to obtain needed information for application advancement.
• Maintains a large caseload with minimum or no delinquencies
• Contacts patients and creates collaborative teamwork to obtain needed information for application advancement
• Uses clear, simple language to ensure understanding in English and/or Spanish
• Complies with all state and federal laws regarding HIPAA and confidentiality requirements
• Able to remain focused and productive each day with minimum supervision
• Demonstrates respect for all individuals
• Adheres to ECI’s Mission, Vision, and Core Values
• Other duties as assigned

Requirements

Soft Skills Needed for the Ideal EC:

• A compassionate heart and a sincere desire to assist patients during any phase of their application process
• Strong work ethic demonstrated with excellent outcomes
• Strong written and verbal communication skills
• Desire to provide the best possible experience for our patients
• Experience navigating a computer while on the phone
• Willing to work and contribute to a team environment
• Ability to trouble-shoot problems
• Listens effectively

Required Qualifications:

• High School diploma / GED (or higher)
• Basic knowledge of Microsoft Office programs (Outlook, Word, Excel)
• Ability to work full-time (40 hours/week), 5-day week, must work every weekend
• Knowledge of Medicaid and SSI programs
• Prior Experience with HHSC (Medicaid, County Indigent, TANF, SSI) a plus
• Bilingual English/Spanish a plus

Physical and Work Requirements:

• Long periods of walking, standing, frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, extensive periods working at a computer
• Able to work from hospital site from 8 am - 4:30 pm (weekends included)
• Must be willing and able to take required vaccinations (no Covid vaccine).

Employment Practices:

ECI is an equal opportunity employer. We value the unique abilities and talents everyone brings to our organization and recognize that we benefit in numerous ways from our differences.

We offer a competitive benefits package that includes but is not limited to medical, dental, vision, disability, accident, generous Paid Time Off -PTO Bank, Health Savings Account, 401k with employer match, and employer-paid basic life insurance.

ECI is a drug-free, smoke-free workplace. Candidates are required to pass a drug test before beginning employment.