Eligibility Screener- Escondido, CA

ARStrat; Escondido (CA); On-site; USD 48,000 - 56,000; Full time

Benefits offered by this job

Health benefits

401(k) company match

Paid time off

Life & disability coverage

Flexible benefits

Job summary

GetixHealth in Escondido, California is seeking an Eligibility Screener – Administrative/Support for onsite work at Palomar Medical Center. You will verify insurance coverage, review demographic data, and determine eligibility for healthcare benefits to help reduce denials.

The role is full-time, Tuesday through Saturday, 8:00 am – 5:00 pm PST, with a $24.00 hourly wage and quarterly bonus eligibility. Strong confidentiality and communication skills are essential.

Qualifications

• High School diploma, GED, or equivalent work experience.
• Healthcare coverage/eligibility experience preferred.
• Proficient in Microsoft Office.
• Ability to maintain confidentiality.
• Bilingual Spanish is a plus.
• Excellent interpersonal, written, and oral communication skills.
• Willingness to work inside a hospital.
• Ability to work in a team- and multi-tasked environment.
• Ability to prioritize and organize work.
• Ability to adapt to a flexible schedule.

Responsibilities

• Maintain appropriate work activity levels and standard processes for eligibility.
• Retrieve and forward requested records, including medical and insurance information.
• Analyze and follow up on special requests with hospital personnel.
• Maintain proactive communication with patients about account progress.
• Screen patients to determine eligibility for Third-Party resources.
• Communicate with physicians, case managers, and staff daily to address questions.
• Educate patients on eligibility requirements and verification processes.
• Document patient information and activities in company systems.
• Ensure accounts meet Eligibility Program standards and regulations.
• Perform other duties as assigned by management.

Skills

Microsoft Office

Confidentiality

Bilingual (Spanish)

Communication skills

Teamwork

Multitasking

Education

High School diploma/GED

Job description

Eligibility Screener – Administrative/Support – Full‑Time – $24.00 per hour (plus quarterly bonus) – Tuesday to Saturday 8:00 am – 5:00 pm PST – Onsite at Palomar Medical Center, Escondido, CA

Description

As an Eligibility Screener, you will verify patient insurance coverage, review financial and demographic information, and determine eligibility for healthcare benefits or assistance programs. You will work directly with patients, insurance companies, and healthcare systems to ensure accurate information is obtained before services are provided, helping reduce billing issues and claim denials.

Compensation and Shift

• Hourly rate: $24.00
• Quarterly bonus‑eligible
• Schedule: Tuesday – Saturday, 8:00 am – 5:00 pm PST
• Location: Onsite in Hospital, Escondido, CA

Principal Responsibilities

• Maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification for eligibility programs.
• Retrieve and forward requested records and information, including medical records, insurance policy information, remittance advice, and itemized statements, to appropriate parties.
• Analyze, distribute, and follow‑up on special requests and adjustments with hospital personnel.
• Maintain consistent proactive communication with the patient or patient representative throughout the eligibility process, keeping the patient informed of the account progress.
• Screen patients and/or patient representatives to determine potential eligibility for Third‑Party resources.
• Communicate effectively with physicians, case managers, social workers, and hospital business office staff on a daily basis to ensure questions are answered and issues are addressed.
• Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs.
• Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance.
• Document pertinent patient information and all work activity in the appropriate systems dictated by company policies and procedures.
• Ensure accounts are processed in accordance to Eligibility Program standards, client expectations, and all applicable federal and state regulations guidelines.
• Understand and comply with all policies, procedures, and regulations relating to job duties.
• Perform other duties as assigned by management.

Requirements

• High School diploma, General Educational Development (GED) certificate, or equivalent work experience.
• Previous healthcare coverage/eligibility experience preferred.
• Proficient personal computer skills, including Microsoft Office.
• Ability to maintain the highest level of confidentiality.
• Bilingual (Spanish) is a plus.
• Excellent interpersonal, written, and oral communication skills.
• Willingness to work inside a hospital, including visiting patient rooms.
• 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.

Work Environment

• Office environment within a local hospital.
• Ability to lift and move up to 20 pounds with or without accommodation.
• Heavy walking required.

Benefits & Incentives

• Comprehensive health benefits (medical, dental, vision).
• Life & disability coverage (company‑paid Basic Life and AD&D, short‑term and long‑term disability).
• 401(k) retirement plan with company match.
• Paid time off (PTO) accrual from first day of employment.
• Flexible benefit options to meet individual and family needs.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.