Bilingual Eligibility Specialist
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Job Description
Eligibility Specialist advocating for patients in the healthcare system. Helping them access financial assistance for medical care through application guidance.
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.
Requirements:
- 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 internet connection and a secure workspace.
- Experience in healthcare revenue cycle, financial counseling, or insurance verification (preferred).
- Basic knowledge of state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability (preferred).
- Knowledge of medical terminology and healthcare accounts receivable processes (preferred).
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