What are the responsibilities and job description for the Eligibility Specialist Bilingual position at Savista?
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 Summary:
The Eligibility Specialist works on site at a Savista hospital client, partnering with hospital administration, to help identify financial assistance programs for the uninsured or underinsured customers. They assist 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. The Eligibility Specialist, not only acts as an advocate for the customer, but also serves as a liaison between colleagues, clients and State/Government agencies in a collaborative effort to facilitate eligibility coverage for current and future medical expenses.
Responsibilities:
- Works directly with the patient or their representative to inquire about the patient’s potential eligibility for financial assistance.
- Provides instructions or works directly with the patient or their representative to complete the appropriate state or federally funded assistance program's application and acquire all necessary releases, signatures and documents.
- Directly submits or facilitates the submission of the application and supporting documentation to the appropriate institution in accordance with company protocol.
- Informs the patient of all approvals and denials of coverage, if it occurs during the patient’s hospital stay.
- Ensures proper protocol including timely and accurate documentation of patient encounters, timely communication with internal colleagues and client hospital administration as well as government staff (as applicable), adherence of patient encounter SLA’s including number of visits per day and communication protocols, and other goals as assigned.
- Ensures timely and accurate documentation of all notes and encounters in both Savista's database and the client’s database.
- Provides a superior experience for the patient and hospital administration while maintaining professionalism at all times.
- Supports Savista's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista's business practices. This includes: becoming familiar with Savista's Code of Ethics, attending training as required, notifying management or Savista's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.
Minimum Requirements:
- High School Diploma or GED.
- At least 6 months of experience in a clinical facility such as long-term care, behavioral health, rehabilitation, acute care, ambulatory or similar, or federal or state government agency that deals with social security, Medicaid or charity care, or high-volume healthcare accounts receivable.
- At least 6 months of experience in a role that requires patient interaction, either in person or over the phone.
- Experience dealing with multiple databases to document patient interactions and retrieve related information that is important to understand the detail necessary to achieve the desired outcome.
- Ability to handle sensitive information and maintain HIPAA compliance.
- Demonstrated ability to navigate Internet Explorer and Microsoft Office.
- Experience working with internal and/or external stakeholders to gather or share information, or to collaborate together to achieve the desired outcome.
- Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
- Demonstrated ability to meet or exceed performance metrics.
- Can type at least 40 WPM.
- Bilingual in English and Spanish.
Preferred Skills:
- 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.
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 $18.00 to $21.00. 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
Salary : $18 - $21
