What are the responsibilities and job description for the Onsite Eligibility Specialist – Patient Assistance Programs position at Healthcare Claims Management?
Job Title: Eligibility Specialist – Patient Assistance Programs
Location: Greenfield - Onsite
Job Type: Full-Time
Job Overview:
We are looking for a compassionate and dedicated Eligibility Specialist to assist patients in accessing government assistance programs and charitable coverage. In this role, you will help patients navigate complex healthcare systems and determine their eligibility for financial aid, Medicaid, Medicare, or other subsidy programs. The ideal candidate will have a passion for helping underserved communities by ensuring patients receive the financial support necessary for their medical care.
Key Responsibilities:
- Meet with patients and their families to collect information on their financial and medical situations to determine eligibility for government and charitable assistance programs.
- Assist patients with completing applications for Medicaid, Medicare, and other financial aid programs, ensuring all required documentation is submitted.
- Explain the application process, eligibility criteria, and available benefits clearly and empathetically to patients.
- Work closely with hospital social workers and case managers to identify patients in need of financial assistance or coverage.
- Stay updated on changes in government programs, including Medicaid and Medicare, to provide accurate and timely information to patients.
- Maintain detailed and confidential patient records to track application progress and eligibility decisions.
- Act as an advocate for patients, communicating with government agencies, charity organizations, and other parties to expedite approvals and ensure access to healthcare services.
- Educate patients about the appeals process if their applications are denied and assist them in reapplying or exploring alternative options.
- Ensure compliance with HIPAA and other healthcare privacy regulations when handling sensitive patient information.
Qualifications:
- Required: High school diploma or equivalent; Bachelor’s degree in a related field preferred.
- Required: 2years of experience in a healthcare, social services, or patient advocacy role.
- Familiarity with government assistance programs like Medicaid and Medicare.
- Excellent communication and interpersonal skills with the ability to explain complex processes to patients and families in need.
- Strong organizational skills and attention to detail when managing multiple applications and deadlines.
- Compassionate and patient-focused, with a commitment to helping underserved populations.
Benefits:
- Competitive salary based on experience
- Health, dental, and vision insurance
- Paid time off, holidays, and sick leave
- Retirement plan with company matching
- Opportunities for professional growth and development
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- How many years of experience do you have in Medicare and Medicaid?
- How many years do you have in patient customer service?
- How many years of Eligibility experience do you have?
- Please indicate what you are seeking in compensation (hourly rate)?
- Are you aware that this is an onsite role, located in Greenfield Indiana
Experience:
- Healthcare, social services, or patient advocacy: 2 years (Preferred)
Ability to Commute:
- Greenfield, IN (Required)
Work Location: In person