Eligibility Specialist 2

savista; Tempe (AZ); On-site; USD 28,000 - 39,000; Full time

Job summary

Savista in Tempe, AZ is seeking an Eligibility Specialist II to advocate for patients and help insured or uninsured access financial assistance for medical care. The role involves guiding clients through government and charity-funded programs and ensuring compliance with healthcare regulations.

The position may float across hospital locations as needed. The role requires empathy, strong attention to detail, and skill in navigating complex systems to secure funding and support patients in

Qualifications

• Minimum high school diploma or GED.
• At least 2 years in a customer-facing role, preferably in healthcare or financial counseling.
• Willingness to travel within market area and work at multiple hospital locations.
• Strong organizational skills and attention to detail.
• Excellent verbal and written communication, empathetic with patients.

Responsibilities

• Conduct advanced eligibility screening in-person to assess financial assistance eligibility.
• Facilitate applications for Medicaid, Medicare, disability, charity care and other funding.
• Act as liaison between patients, hospital staff, and government agencies to establish eligibility and secure funding.
• Perform follow-up to ensure completeness and timely processing of applications.
• Identify and assist with disability program requirements and appeals.
• Manage multiple patient cases independently and prioritize tasks to meet deadlines.
• Communicate financial obligations and funding options empathetically to patients.
• Maintain HIPAA-compliant and confidential patient records.
• Support colleagues and participate in training and special projects as needed.

Skills

Customer-facing

Healthcare experience

Financial counseling

Organizational skills

Communication skills

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 II 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. Depending on client needs, this role may provide floating support across multiple hospital locations, offering vacancy coverage or assisting as the business requires. Successful candidates are empathetic, detail-oriented, and skilled at navigating complex 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 shift available between Monday through Saturday from 8:00am to 7:00pm , to meet business needs.

Primary Locations: This position is onsite and will be required to service the primary locations of: Honor Health Tempe Medical Center - 1500 S. Mill Ave., Tempe, AZ. 85281

Key Responsibilities

• Conduct advanced eligibility screening 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, hospital charity care or unique requirements for non-traditional funding, 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.
• Perform advanced follow-up work across, ensuring applications are complete and processed efficiently.
• Identify and assist with technical medical requirements for disability programs, including setting up medical appointments, completing disability applications, submitting appeals, and following through on resolution of applications.
• Manage multiple patient cases independently, 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.
• Identify and assist with complex cases, including disability applications, setting up appointments, and submitting appeals, etc. as needed.
• Assist in training and supporting colleagues as needed, ensuring seamless onboarding and service delivery.
• Complete special projects, as assigned.

Qualifications & Competencies

Required Qualifications

• High school diploma or GED
• At least 2 years of experience in a customer-facing role, preferable in healthcare or financial counseling.
• Flexibility to provide support to multiple hospital locations and in-home patient visits within assigned market area as based on operational needs.
• 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.
• Demonstrated ability to work independently in locations where potentially only one Eligibility Specialist is assigned.
• 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, a valid driver's license, and ability to travel within assigned service area.

Preferred Qualifications

• Experience in healthcare revenue cycle, financial counseling, or insurance verification.
• Experience with multiple EHR systems: Epic, Cerner, Meditech, etc.
• Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
• Knowledge of medical terminology and healthcare accounts receivable processes.

Savista is required by state specific laws to include the salary range fo