We are seeking a dynamic, bilingual customer service oriented Eligibility Screener to work in a local hospital with Covid-19 vaccination. Screen patients from their hospital rooms to determine potential eligibility for third party resources and explain eligibility requirements and application process.
- Screen patients and/ or patient representatives to determine potential eligibility for third party resources.
- Explain to patients and other entities the eligibility requirements, application process, and verification requirements for applicable programs.
- Facilitate the application process when appropriate for the patient by assisting the patient in the completing of the application, scheduling appointment interviews, and obtaining required verification.
- Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance.
- Document pertinent patient information in the appropriate systems dictated by the health care facility and the company.
- Document account activity as required by company policies and procedures in order to support account dispositions.
- Determine potential eligibility for health care coverage in accordance to state/ federal/ and local policies and procedures and pertinent legislation.
- Monitor patient accounts to ensure appropriate processing timeframes are met.
- Maintain confidentiality regarding patient’s health records and the company’s business practices.
- Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.
- Perform other duties as assigned by management.
- High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired.
- 1 year of healthcare coverage/eligibility experience required. 2 years of healthcare coverage/eligibility experience preferred.
- Bilingual (Spanish) required.
- Proficient personal computer skills including Microsoft Office.
- Excellent interpersonal, written, and oral communication skills.
- Ability to prioritize and organize work in a multitasked environment.
- Ability to adapt to a flexible schedule.
- Ability to maintain the highest level of confidentiality.
- Office environment.
- Ability to lift and/or move 20 pounds with or without accommodation.