Eligibility Specialist I

Savista; St. Anne (IL); On-site; USD 27,552 - 33,062; Full time

Job summary

Savista is seeking a full-time Financial Counselor to assist patients with eligibility assessments and program applications for Medicaid, Medicare and charity care. You will work with hospital staff and patients to secure funding and resolve coverage issues while maintaining HIPAA-compliant records.

The role requires a high school diploma, English and Spanish proficiency, and at least 1 year in a customer-facing role, preferably in healthcare or financial counseling.

Qualifications

• High school diploma or GED required.
• Proficiency in English and Spanish required.
• Customer-facing experience in healthcare or financial counseling preferred.
• Willingness to travel to nearby hospital locations as needed.

Responsibilities

• Meet with patients in-person to assess financial assistance eligibility.
• Assist with Medicaid, Medicare, Disability and charity program applications.
• Coordinate between patients, hospital staff and government agencies.
• Manage a high caseload and ensure timely follow-up on applications.
• Explain funding options and program details empathetically to patients.
• Maintain confidential HIPAA-compliant records and report data accurately.

Skills

English proficiency

Spanish proficiency

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).

Work Schedule and Location

Work Hours: Full time, 40 hours per week, hourly position. Flexibility required, with shifts available between Monday through Friday from 8:00am to 4:30pm to meet business needs.

Primary Hospital Locations

• St. Mary's Hospital – 500 W Court St., Kankakee, IL 60901

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.
• Responsible for a high caseload, 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.

Required Qualifications

• 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.
• Travel: 0%

Preferred Qualifications

• Experience in healthcare revenue cycle, financial counseling, or insurance verification.
• 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 for this role when hiring a resident in applicable locations. The salary range for this role is from $20 to $24 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.

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