Eligibility Specialist 1 (Bilingual Spanish Required)

Savista, LLC; United States; On-site; USD 25,000 - 29,000; Full time

Job summary

Savista, LLC is seeking an Eligibility Specialist I to advocate for patients, helping uninsured and underinsured individuals access financial assistance for medical care.

You will guide and expedite applications for government and charity programs, while ensuring HIPAA-compliant documentation and collaboration with hospital staff.

Qualifications

• High school diploma or GED required.
• Proficiency in English and Spanish.
• 1+ year in a customer-facing role, preferably in healthcare or financial counseling.
• Ability to travel to nearby hospital locations for coverage.
• Strong organizational skills with attention to detail.
• Excellent verbal and written communication, empathetic.
• HIPAA knowledge and ability to maintain confidentiality.

Responsibilities

• Meet with patients in-person, including bedside visits, to assess eligibility and provide compassionate guidance on available programs.
• Facilitate the application process for Medicaid, Medicare, Disability, and charity care, ensuring timely submission of accurate documentation.
• Liaise between patients, hospital staff, and agencies to establish eligibility and secure funding.
• Manage multiple cases, prioritize tasks, and follow up on pending applications.
• Explain financial obligations, funding options, and program details empathetically.
• Maintain confidential records in compliance with HIPAA and policies.
• Meet productivity and quality metrics to support counseling objectives.
• Use multiple systems/databases to gather, track, and report patient data.
• Assist with vacancy coverage as needed.
• Complete special projects as assigned.

Skills

Bilingual: English & Spanish

Organizational skills

Verbal and written communication

Empathy in patient interactions

Attention to detail

Problem solving for financial barriers

Team collaboration

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 Purpose

The 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 3:30pm to Midnight to meet business needs, colleagues will also be required to work 2 weekends a month.

Primary Locations: This position is onsite and will be required to service the primary hospital locations of: Cooper University Hospital-Cape Regional - 2 Stone Harbor Boulevard, Cape May Court House, NJ 08210.

Key Responsibilities

• Meet 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 GED
• Proficiency in English and Spanish
• At 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.

Compensation

Savista 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 $18.00 to $21.00 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.

Equal Opportunity Employer

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.