Eligibility Specialist 1

Savista; Cape Town; On-site; ZAR 457,000 - 503,000; Full time

Job summary

Savista is seeking an Eligibility Specialist I to help uninsured and underinsured patients access financial assistance for medical care. The role involves assessing eligibility, guiding through government and charity program applications, and ensuring regulatory compliance.

Ideal candidates are empathetic, detail-oriented, and capable of navigating healthcare systems to support patient access to needed care.

Qualifications

• High school diploma or GED is required.
• At least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling.
• Flexibility to provide coverage at nearby locations as needed.
• Strong organizational skills with the ability to handle multiple priorities and maintain accuracy.

Responsibilities

• Meet with patients in-person to assess eligibility for financial assistance.
• Guide patients through applications for Medicaid, Medicare, Disability, and charity care.
• Act as liaison between patients, hospital staff, and government agencies to secure funding.
• Manage multiple cases, prioritize tasks, and follow up on pending applications.
• Explain financial obligations and funding options clearly and empathetically.
• Maintain confidential records in compliance with HIPAA and policies.
• Contribute to productivity and quality metrics of financial counseling.
• Use multiple systems to gather, track, and report patient data.
• Assist with vacancy coverage and special projects as needed.

Skills

Customer service

Communication

Organizational skills

Empathy

Attention to detail

Time management

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 4:00pm to 12:00am (midnight) to meet business needs. Must also be able to work 2 required weekends per month.

Primary Location

This position is onsite and will be required to service the primary location 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.

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 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.
• Proficiency in English and Spanish

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 $20.00 to $22.00 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