Eligibility Screener (Santa Cruz, CA)

GetixHealth; Santa Cruz (CA); Presencial; USD 28.000 - 40.000; Tempo integral

Benefícios oferecidos por esta vaga

Health benefits

401(k) plan

Paid time off

Flexible schedule

Resumo da vaga

GetixHealth, LLC seeks an Eligibility Screener to assist hospital patients with applications for third-party resources and state aide. The role is on-site at Dominican Hospital in Santa Cruz, with a 8:00am-4:30pm weekday schedule and a pay of $25.00/hour plus quarterly bonuses.

Responsibilities include verifying eligibility, collecting records, and coordinating with physicians and social workers to resolve questions while maintaining patient confidentiality.

Qualificações

• Bilingual (Spanish) required to communicate with Spanish-speaking patients.
• Confidentiality and basic computer literacy required.
• Healthcare insurance/Medicaid knowledge is preferred.

Responsabilidades

• Maintain work activity levels and establish processes to ensure timely eligibility certification.
• Forward requested records and insurance information to appropriate parties.
• Analyze, distribute and follow up on special requests with hospital staff.
• Communicate with patients and representatives about account progress.
• Screen patients for eligibility for third-party resources.
• Educate patients on eligibility requirements and verification processes.
• Document patient information in company systems per policy.
• Ensure compliance with federal and state guidelines for eligibility programs.

Conhecimentos

Bilingual Spanish

Formação

High School diploma or GED

Ferramentas

Microsoft Office

Descrição da vaga

Eligibility Screener - (Bilingual Required)

Compensation: $25.00/hr. + Quarterly Bonus Eligible

Work shift Monday-Friday 8:00am-4:30pm (onsite Dominican Hospital- Santa Cruz)

If you are a caring, compassionate individual with a sense of community, we have a rewarding career available for you.

• Do you want to help those within need in your community?
• Would you be interested in assisting healthcare patients to find insurance to assist with their medical bills?
• Work in a local hospital assisting patients with applications for third-party resources including state aide.

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

Requirements

• Willing and able to work inside of a hospital, including visiting hospital rooms to complete tasks, which requires individual to be fully vaccinated, including COVID-19 vaccine and booster, current Flu shot and drug screening
• High School diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired
• Previous healthcare coverage/eligibility experience preferred
• Proficient personal computer skills including Microsoft Office
• Ability to maintain the highest level of confidentiality
• Bilingual (Spanish) required- job requires communication with Spanish-speaking patients/customers
• Excellent interpersonal, written, and oral communication skills
• Willing to work inside of a hospital including visiting hospital rooms to complete tasks
• 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/or move 20 pounds with or without accommodation
• Heavy walking is required

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&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D 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 EMPLOYER

Experience

Required

• 1 year(s): Healthcare Insurance, Medi-Cal / Medicaid
• 3 year(s): Microsoft Office Experience

Preferred

• Government Program Eligibility
• 1 year(s): Healthcare

Education

Preferred

• 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

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
• Peer Recognition: Inspired to perform well by the praise of coworkers

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.