Manager, Eligibility

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).

Company Overview

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 Purpose

The Manager, Eligibility is responsible for oversight and leadership of the Eligibility team, ensuring smooth operations and exceptional service delivery to our client(s). This position is responsible for team management, overseeing daily workflows, monitoring performance, and providing feedback to drive improvement. You will collaborate with senior leadership to develop and execute strategies to enhance patient eligibility processes, acting as an escalation point for complex cases. Regular travel to support colleagues at multiple facilities and build strong relationships with hospital leadership and external stakeholders will be required. Successful candidates will have a strong background in leadership and eligibility healthcare operations, with excellent problem-solving skills, the ability to coach and develop colleagues, and a strong commitment to delivering exceptional service to our client across multiple facilities.

Work Schedule and Location:

• Work Hours: Full time, salaried position. Flexibility required to meet business needs.
• Primary Hospital Locations: This position is hybrid with a combination of remote work and in-person visits to facilities on a regular and ongoing bases to ensure operational alignment and team support. Travel to these locations will be required as a part of the role, to be split in the future with additional Manager:
• St. Joseph Hospital – 77 N Airlite St., Elgin, IL. 60123
• St. Francis Hospital – 355 Ridge Ave., Evanston, IL. 60202
• Holy Family Medical Center – 100 N River Rd., Des Plains, IL. 60016
• St. Joseph Medical Center – 333 Madison St., Joliet, IL. 60435
• St. Mary’s Hospital – 500 W Court St., Kankakee, IL. 60901
• Mercy Medical Center – 1325 N Highland Ave., Aurora, IL. 60506
• Resurrection Medical Center – 7435 W. Talcott Ave., Chicago, IL. 60631
• St. Mary Hospital – 2233 W Division St., Chicago, IL. 60622
• St. Elizabeth Medical Center – 1431 N. Claremont Ave., Chicago, IL. 60622
• Garden City Hospital – 6245 Inkster Rd., Garden City, MI. 48135
• Lake Huron Medical Center – 2601 Electric Ave., Port Huron, MI. 48060
  

Key Responsibilities

• Lead, manage, and develop a team of Eligibility Specialists, ensuring alignment with organizational goals and standards.
• Oversee daily operations of the team, including workload distribution, optimization, and meeting service-level agreements with the Client.
• Monitor team and individual performance and quality metrics, providing regular feedback and implement corrective action and performance improvement plans as necessary.
• Partner with the Eligibility Specialist III to create and deliver training programs, ensuring colleagues are equipped with knowledge and skills to succeed in their roles.
• Collaborate with senior leadership to develop and execute strategies for improving patient eligibility processes and outcomes.
• Act as an escalation point for complex cases, working with internal and external stakeholders to resolve issues promptly.
• Partner with hospital leadership, government agencies, and other departments to ensure seamless processes and patient care.
• Travel regularly to assigned facilities, ensuring timely and efficient support across multiple locations within the service area*.
• Maintain accurate and confidential records in compliance with HIPAA and organizational policies.
• Efficiently use multiple systems and databases to gather, track, and report on patient data.
• Complete special projects, as assigned.
  
  

Required

Qualifications & Competencies:

• Bachelors Degree in healthcare administration, business, other related field or equivalent experience.
• Proficiency in English and Spanish
• At least 5 years of experience in healthcare eligibility, revenue cycle, or financial counseling roles, with at least 2 years in leadership or supervisory capacity.
• Proven ability to lead and motivate teams, fostering a culture of collaboration and accountability.
• Excellent problem-solving skills, with ability to de-escalate and/or resolve complex patient or operational issues.
• Flexibility to provide support to multiple hospital locations within assigned market, as based on operational needs.
• 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 transportation, a valid driver’s license, and ability to travel within assigned service area.
• Travel: Regular travel to facilities within assigned market region is required. Travel percentage is estimated at 20-30%*.
  
  

Preferred

• Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
• Knowledge of medical terminology and healthcare accounts receivable processes.
  
  

Note: 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 $70,000 to $90,00. 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.

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