Eligibility Specialist 1

Savista, LLC; Cape May Court House (NJ); On-site; USD 28,000 - 30,000; Full time

Job summary

Savista, LLC is seeking an Eligibility Specialist I to advocate for patients, helping uninsured and underinsured access financial assistance for medical care. This on-site role at Cooper University Hospital-Cape Regional in Cape May Court House, NJ guides patients through government and charity programs, ensuring regulatory compliance and timely submissions.

You will meet patients in-person, manage multiple cases, and clearly communicate funding options, while maintaining HIPAA-compliant records

Qualifications

• High school diploma or GED required.
• 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling.
• Ability to work at nearby hospital locations within assigned market area for vacancy coverage.
• Excellent verbal and written communication skills, able to explain complex information clearly and empathetically.
• Bilingual English and Spanish preferred.

Responsibilities

• Meet with patients in-person to assess financial assistance eligibility and provide guidance on available programs.
• Facilitate the application process for Medicaid, Medicare, Disability, and hospital charity care with timely, accurate documentation.
• Liaise between patients, hospital staff, and government agencies to establish eligibility, secure funding and resolve coverage issues.
• Manage multiple patient cases, prioritizing tasks to meet deadlines and ensure follow-up on pending applications.
• Clearly communicate financial obligations and funding options to patients in an empathetic and professional manner.
• Maintain accurate and confidential HIPAA-compliant records.
• Consistently meet productivity and quality metrics and support financial counseling objectives.
• Efficiently use multiple systems and databases to gather, track, and report patient data.
• Assist with vacancy coverage as needed.
• Complete special projects as assigned.

Skills

Communication skills

Organizational skills

Empathy

Bilingual English/Spanish

Attention to detail

Education

High school diploma or GED

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).Job PurposeThe Eligibility Specialist I is a critical advocate for patients, helping uninsured and underinsured individuals access financial assistance for medical care. This role involves conducting detailed assessments, guiding patients through application processes for government and charity-funded programs and ensuring compliance with healthcare regulations. Successful candidates are empathetic, detail-oriented, and skilled at navigating healthcare systems to support patients in receiving the care they need.Work Schedule and Location:Work Hours: Full time, 40 hours per week, hourly position. Flexibility required, with shifts available between Monday through Sunday from 4:00pm to 12:00am (midnight) to meet business needs. Must also be able to work 2 required weekends per month.Primary Location: This position is onsite and will be required to service the primary location of:Cooper University Hospital-Cape Regional - 2 Stone Harbor Boulevard, Cape May Court House, NJ 08210Key ResponsibilitiesMeet with patients in-person, including bedside visits, to assess financial assistance eligibility and provide compassionate guidance on available programs.Facilitate the application process for programs such as Medicaid, Medicare, Disability, and hospital charity care, ensuring timely submission of accurate documentation.Act as a liaison between patients, hospital staff, and government agencies to establish eligibility, secure funding and resolve coverage issues.Manage multiple patient cases, prioritizing tasks to meet deadlines and ensure effective follow-up on pending applications.Clearly communicate financial obligations, funding options, and program details to patients in an empathetic and professional manner.Maintain accurate and confidential records in compliance with HIPAA and organizational policies.Consistently achieve productivity and quality metrics, contributing to the organization's financial counseling objectives.Efficiently use multiple systems and databases to gather, track, and report on patient data.Assist with vacancy coverage, as needed.Complete special projects, as assigned.Qualifications & Competencies:Required:High school diploma or GEDAt least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling.Flexibility to provide support at nearby hospital locations within assigned market area, as needed for vacancy coverage.Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail.Excellent verbal and written communication skills, with the ability to explain complex information clearly and empathetically.Ability to identify solutions to financial challenges, leveraging program knowledge to benefit patients.Capability to work in a fast-paced environment with changing priorities and patient needs.Demonstrate genuine care for patients’ needs and concerns, building trust and rapport.Work effectively with colleagues, hospital staff, and external agencies to achieve shared goals.Ensure all documentation is accurate, complete, and submitted on time.Reliable transportation and a valid driver’s license.Preferred:Experience in healthcare revenue cycle, financial counseling, or insurance verification.Basic knowledge of state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.Knowledge of medical terminology and healthcare accounts receivable processes.Proficiency in English and SpanishSavista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $20.00 to $22.00 per hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.California Job Candidate Notice