Eligibility Screener - San Antonio, TX (Bilinigual)

GetixHealth; San Antonio (TX); On-site; USD 25,000 - 26,000; Full time

Benefits offered by this job

Quarterly bonus

Health benefits

401(k) retirement plan

Paid time off

Flexible benefits

Job summary

GetixHealth, LLC in Texas is seeking a detail-oriented eligibility specialist to support patient accounts. You will maintain processes to certify eligibility, retrieve and forward records, and coordinate with hospital staff to resolve complex requests.

Ideal candidates are bilingual in Spanish with strong data entry skills and experience in healthcare compliance. The role is office-based with a schedule Monday–Friday and the organization offers comprehensive benefits.

Qualifications

• Bilingual (Spanish) required.
• High school diploma or GED required; relevant healthcare experience preferred.
• Strong data entry and documentation skills with attention to detail.

Responsibilities

• Maintain work activity levels and establish processes for timely eligibility certification.
• Retrieve and forward medical records, policy information, remittance advice, and statements.
• Analyze and follow up on special requests and adjustments with hospital staff.
• Maintain proactive communication with patients throughout the eligibility process.
• Screen patients to determine potential eligibility for Third Party resources.
• Communicate with physicians, case managers, social workers, and hospital staff daily.

Skills

Bilingual Spanish

Interpersonal communication

Data entry accuracy

Customer service

Education

High school diploma or GED

Tools

Microsoft Word

Excel

Outlook

Job description

Monday - Friday 10 AM to 7 PM

$18.50 - $19.00 (based on experience) an hour

• Bilingual (Spanish) Required ***

Monday - Friday 10 AM to 7 PM

$18.50 - $19.00 (based on experience) an hour

Quarterly Bonus Eligible

• Bilingual (Spanish) Required ***

RESPONSBILITIES:

• 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.
• Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.
• Perform other duties as assigned by management.

MINIMUM REQUIREMENTS:

• High school diploma or GED required; equivalent combination of education and relevant work experience will be considered.
• Previous experience in healthcare coverage, eligibility, or revenue cycle management preferred.
• Working knowledge of healthcare regulations, including HIPAA, FMLA, Medicare, and other applicable laws and guidelines.
• Knowledge of SSI/SSDI preferred.
• Proficient in Microsoft Office applications (Word, Excel, Outlook) and comfortable navigating multiple computer systems and databases.
• Strong data entry and documentation skills with a high degree of accuracy and attention to detail.

CORE COMPETENCIES:

• Excellent interpersonal, written, and verbal communication skills, with the ability to interact professionally at all levels.
• Proven customer service experience, especially in high-volume or fast-paced environments.
• Ability to manage multiple priorities effectively while maintaining quality and accuracy.
• Strong organizational and time-management abilities with a process-oriented mindset.
• Comfortable working independently and collaboratively in a team-focused environment.
• Skilled in handling confidential and sensitive information with integrity and discretion.
• Bilingual in Spanish.

WORK ENVIRONMENT & SCHEDULE:

• Ability to adapt to a flexible work schedule, including evenings and weekends, as needed.
• Demonstrated ability to thrive in a fast-paced, multitasking environment while meeting performance metrics and service level expectations.
• Strong presentation and active listening skills to effectively engage with patients and team members.
• Office-based role requiring long periods of sitting and regular use of standard office equipment (PC, phone, keyboard, etc.).
• Occasional lifting may be required up to 25 lbs.
• Must be able to sit for extended periods of time with frequent bending and stooping.

WHY JOIN GETIXHEALTH?

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We’re more than revenue cycle experts—we’re a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and—above all—people.

BENEFITS & INCENTIVES:

• Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
• Life & Disability Coverage: Receive company-paid Basic Life and AD&DD insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&DD benefits.
• 401(k) Retirement Plan: Become eligible to participate in the company’s 401(k) plan on the first day of the quarter following three months of continuous employment, with a company match to help you invest in your future.
• Paid Time Off: Begin accruing PTO on your first day of employment, promoting a healthy work-life balance from the start.
• Flexible Benefit Options: Tailor your benefits package with a variety of options to meet your individual and family needs.

GetixHealth is an Equal Opportunity and E-Verify Employer.

Note: This job description is not intended to be an exhaustive list of responsibilities or qualifications and may be subject to change based on business needs.

Experience

Preferred

• 1 year(s): Medi-Cal and Medicare
• 1 year(s): Healthcare customer service

Education

Required

• High School or better

Behaviors

Preferred

• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Preferred

• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

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.