- Perform face-to-face interviews with patients at a client site to determine eligibility for financial assistance. This will require bedside, in patient rooms
- Handles high volume of caseloads of patients that need to be screened financially and medically for assistance
- Facilitates the application process or directs the patient to the next appropriate step.
- Submit applications and supporting documentation to the appropriate institution in accordance with company protocol
- Act as an advocate for the patient, but also serves as a liaison to other colleagues, client hospital personnel, and government agency staff in a collaborative effort to establish eligibility coverage for future or incurred medical expenses
- Provide superior customer service and maintains a professional image
- Meet or exceed established productivity, quality, and revenue metrics
- Conduct home visits as needed
- High school diploma or GED
- At least six months of experience in a customer service role, interacting directly with customers either in-person or over the phone
- Experience working in a role that requires prioritization while ensuring quality and achievements of performance metrics
- Ability to handle sensitive information and maintain HIPAA compliance.
- Experience in a role that requires accessing multiple databases simultaneously or managing multiple open screens to gather information to discuss with a customer
- Proven time management skills
- Typing skills of 40 wpm
- Proficient with Internet Explorer and Microsoft Office.
- Maintain acceptable attendance and schedule requirements.
- Flexible work schedule
- Six months of experience working within financial counseling in a Hospital, Physician office or home environment, including demonstrated success obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations
- Understand federal or state government agencies including Social Security, Medicaid or charity care, healthcare accounts receivable within the healthcare revenue cycle touching patient accounts
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Eligibility Specialist Redding, CA - Savista
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).
The role of Hybrid Eligibility Specialist is to work remotely or in one of our Savista service centers, client sites or outreach locations as needed, to help identify financial assistance programs for the uninsured or underinsured customers. Provides assistance with the application process and referrals to all State and Federally funded assistance programs, including but not limited to Medicare, Medicaid, Disability and Charity programs.
Bilingual Spanish is a plus.
Shift: 8 am to 430pm
Days: Monday-Friday
Weekend availability
This position will be need to have the flexibility to provide coverage ONSITE with same day notice at Shasta Regional Medical Center.
Will also provide remote assistance to Savista's Prime book of business including facilities listed below as needed:
Facilities:
Sherman Oaks Hospital- Sherman Oaks Ca.*
Encino Hospital Medical Center- Encino Ca.*
Centinela Hospital Medical Center-Inglewood Ca.*
San Dimas Community Hospital- San Dimas Ca.
OC Facilities:
Garden Grove Hospital -Garden Grove Ca.
Huntington Beach Hospital- Huntington Beach Ca.
La Palma- La Palma Ca.
West Anaheim Medical Center- Anaheim Ca.
Inland Empire:
Montclair Hospital Medical Center- Montclair Ca.
Chino Calley Medical Center- Chino Ca.
Primary Focus will be Shasta Regional Medical Center in Redding, CA
Essential Duties & Responsibilities:
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