Bilingual Eligibility Specialist I

Savista; Cape Town; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A healthcare solutions company seeks a Bilingual Eligibility Specialist I in Cape Town to assist patients with financial assistance for medical care. This full-time role includes meeting patients, guiding them through application processes for government programs, and ensuring compliance with healthcare regulations. Ideal candidates are empathetic and possess excellent communication and organizational skills, with at least one year of relevant experience. Flexibility to work various shifts is required.

Qualifications

• At least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling.
• Ability to identify solutions to financial challenges.
• Reliable transportation and a valid driver's license.

Responsibilities

• Meet with patients to assess financial assistance eligibility.
• Facilitate application processes for government programs.
• Act as liaison between patients and government agencies.
• Manage multiple patient cases and ensure follow-up.
• Communicate financial options clearly to patients.

Skills

Empathy

Organizational skills

Communication skills

Problem-solving

Education

High school diploma or GED

Job description

Savista Cape Town, Western Cape, South Africa

Overview

Bilingual Eligibility Specialist I role at Savista. 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, available between 12pm to 8pm Monday-Friday along with coverage of other shifts to meet business needs.

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 *****

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

• 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 transportation and a valid driver's license.
• Travel: 5%.

Preferred

• Experience in healthcare revenue cycle, financial counseling, or insurance verification.
• Proficiency in English and Spanish.
• 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.

Salary Range

Salary range for this role: $***** to $***** per hour. Specific compensation within the range will vary based on geographic location, candidate experience, applicable certifications, and skills.

Equal Opportunity Statement

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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