Eligibility Representative II

DECO Recovery Management; Greenville (SC); On-site; USD 40,000 - 55,000; Full time

Job summary

DECO Recovery Management in Greenville, South Carolina is looking for an Eligibility Representative II to assist the Program Manager and support patient advocacy efforts. The role involves detailed patient assessments to explore eligibility for various assistance programs.

The ideal candidate should demonstrate intermediate customer skills and be bilingual in Spanish. Responsibilities include assisting patients in application processes and ensuring thorough documentation of patient information.

Qualifications

• Ability to explain eligibility requirements and application processes.
• Skills in screening patients for potential eligibility.
• Capability to document patient information accurately.

Responsibilities

• Assist Program Manager in training and knowledge sharing.
• Conduct detailed in-house reviews and bedside interviews.
• Facilitate the application process for patients.

Skills

Intermediate customer skills

Bilingual Spanish

Job description

Since 1993, Our team is driven to make the DECO Difference each day!

We believe exceptional efforts produce exceptional results; focusing on a compassionate, empathetic patient-advocacy approach to eligibility services that not only provides hospitals with a targeted revenue flow solution for their uninsured and under-insured populations, but greatly enhances patient satisfaction.

Job Description

Eligibility Representative II will assist the Program Manager in the training process sharing knowledge and skills as directed. Utilizes intermediate customer skills to interact with the basic client representatives. Will perform detailed in-house review and bedside interviews to determine if patient is a viable candidate for State, Federal, County, Medical or Disability Assistance, and if so to assist the patient/guarantor with the application process for any Assistance type program. This assistance will include the necessary investigative, field, and administrative work needed to assist the patient in meeting eligibility requirements for Disability, Medicaid or other applicable County, Federal or State programs if appropriate.

Qualifications

• Explain to patients and other entities the eligibility requirements, application process and verification requirements for applicable programs.
• Screen patients and/or patient’s representative to determine potential eligibility for Third Party Resources.
• Determine potential eligibility for health care coverage in accordance to state/federal/local policies and procedures.
• Document pertinent patient information and account activity in the appropriate systems dictated by the health care facility and ElevatePFS account, as required by ElevatePFS policies and procedures in order to support account dispositions.
• Facilitate the application process when appropriate for the patient by assisting the patient in completing the application, scheduling appointment interviews and obtaining required verifications.
• Monitor patient accounts to ensure appropriate processing timeframes are met.
• Submit accurate information so accounts can be billed appropriately.
• Assist the Program Manager with various projects on an as needed basis.
• Bilingual Spanish is required.

Additional Information

All your information will be kept confidential according to EEO guidelines.