Eligibility Specialist I

Savista; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare is seeking an Eligibility Specialist I to assist uninsured and underinsured individuals in accessing necessary financial support. This fully remote role requires evaluating patients' needs and navigating application processes for various assistance programs. Candidates should be compassionate and detail-oriented, with strong communication and organizational skills.

Qualifications

• At least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling.
• Flexibility necessary to support at nearby hospital locations as needed.
• Strong organizational skills to handle multiple priorities.

Responsibilities

• Review and assess patients' eligibility for financial assistance programs.
• Guide patients through application processes for Medicaid, Medicare, etc.
• Maintain accurate, confidential records in compliance with HIPAA.

Skills

Empathy

Detail-oriented

Organizational skills

Verbal communication

Written communication

Education

High school diploma or GED

Job description

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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).

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 Friday from 8:30am to 5:00pm to meet business needs.
• Locations: This is a fully remote position. Candidates must have a dedicated, secure workspace and reliable internet access to perform job duties effectively.
  
  

Key Responsibilities

• Screen patients 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.
• Complete special projects, as assigned.
  
  

Required

Qualifications & Competencies:

• High school diploma or GED
• 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 internet connection and a secure workspace.
  
  

Preferred

• Proficiency in English and Spanish 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.
  
  

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 $16.00 to $18.00 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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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