Eligibility Counselor

ELIGIBILITY COUNSELOR – HOSPITAL BASED

JOB DESCRIPTION

WELCOME TO ECI!

Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then left to return home with the burden of one more medical bill.

Since 1995, our Mission at Eligibility Consultants, Inc. (ECI) has been to assist self-pay hospital patients find the means to pay their medical bills through participation in various government assistant programs. ECI’s solutions encompass every potential self-pay patient from the lowest dollar outpatient and ER account to the most complex long-term disability.

We are looking for a few energetic, determined, and enthusiastic individuals to join our fast-paced work force. If your passion is to make a difference in the lives of others while getting paid for your efforts, look no further, this job is for you.

Job Summary

The Eligibility Counselor is responsible for screening hospital uninsured patients and the advancement of accounts of potential eligibility of federal, state and county government assistance programs, as well as hospital financial programs.

Primary Job Duties & Responsibilities

• Obtains daily census reports to identify uninsured patients
• Meets with patients and/or families to determine program eligibility
• Communicates with patients to ensure understanding of application process
• Obtains signed applications and forms and starts collection of pertaining documents for application advancement
• Performs patient’s follow-ups and revisits as needed
• Serves as an advocate for patients, hospital staff, and program agencies and provides a collaborative environment
• Uses clear, simple language to ensure understanding
• Complies with all state and federal laws regarding HIPAA and confidentiality requirements
• Able to remain focused and productive under pressure
• Maintains a large caseload
• Demonstrates respect for all individuals
• Keeps up to date with program knowledge and changes in eligibility policies
• Adheres to ECI’s Mission, Vision and Core Values
• Other duties as assigned

Soft Skills Needed for the Ideal Candidate:

• A compassionate heart and a sincere desire to assist patients during any phase of their application process.
• Strong work ethic demonstrated with excellent outcomes
• Strong written and verbal communication skills
• Desire to provide the best possible experience for our patients
• Experience navigating a computer while on the phone
• Willing to work and contribute to a team environment
• Ability to trouble-shoot problems
• Listens effectively

Required Qualifications:

• High School diploma / GED (or higher)
• Basic knowledge of Microsoft Office programs (Outlook, Word, Excel)
• Ability and flexibility to work full-time (40 hours/week)
• Knowledge of Medicaid and SSI programs

Physical and Work Requirements:

• Long periods of walking, standing, frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, extensive periods working at a computer

Employment Practices

ECI is an equal opportunity employer. We value the unique abilities and talents everyone brings to our organization and recognize that we benefit in numerous ways from our differences.

ECI is a drug-free, smoke-free workplace. Candidates are required to pass a drug test before beginning employment.

We offer a competitive benefits package that includes but is not limited to medical, dental, vision, disability, accident, generous Paid Time Off -PTO Bank, Health Savings Account, and employer paid basic life insurance.

Job Type: Full-time

Pay: $16.38 - $18.12 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Vision insurance

Schedule:

• Every weekend

Work Location: In person

Salary : $16 - $18