Eligibility Screener (Santa Cruz, CA)

AmericollectOn-siteFull-timeNew grad, 0–1 yearsListed 2 days ago

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About this role

Eligibility Screener- (B ilingual Required)

Compensation: $25.00/hr. + Quarterly Bonus Eligible

Work shift Monday-Friday 8:00am- 4:30pm (onsite Dominican Hospital- Santa Cruz)

If you are a caring, compassionate individual with a sense of community, we have a rewarding career available for you.

- Do you want to help those within need in your community?

- Would you be interested in assisting healthcare patients to find insurance to assist with their medical bills?

- Work in a local hospital assisting patients with applications for third-party resources including state aide.

Principal Responsibilities:

- Maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification for eligibility programs.

- Retrieve and forward requested records and information, including medical records, insurance policy information, remittance advice, and itemized statements, to appropriate parties.

- Analyze, distribute, and follow-up on special requests and adjustments with hospital personnel.

- Maintain consistent proactive communication with the patient or patient representative throughout the eligibility process, keeping the patient informed of the account progress.

- Screen patients and/or patient representatives to determine potential eligibility for Third Party resources.

- Communicate effectively with physicians, case managers, social workers, and hospital business office staff on a daily basis to ensure questions are answered and issues are addressed.

- Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs.

- Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance.

- Document pertinent patient information and all work activity in the appropriate systems dictated by company policies and procedures.

- Ensure accounts are processed in accordance to Eligibility Program standards, Client expectations, and all applicable federal and state regulations guidelines.

- Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.

- Perform other duties as assigned by management.

Requirements:

- Willing and able to work inside of a hospital, including visiting hospital rooms to complete tasks, which requires individual to be fully vaccinated, including COVID-19 vaccine and booster, current Flu shot and drug screening

- High School diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired

- Previous healthcare coverage/eligibility experience preferred

- Proficient personal computer skills including Microsoft Office

- Ability to maintain the highest level of confidentiality

- Bilingual (Spanish) required- job requires communication with Spanish-speaking patients/customers

- Excellent interpersonal, written, and oral communication skills

- Willing to work inside of a hospital including visiting hospital rooms to complete tasks

- Ability to work in a team fostered environment

- Ability to work in a multi-tasked environment

- Ability to prioritize and organize work

- Ability to adapt to a flexible schedule

Work Environment:

- Office environment within a local hospital

- Ability to lift and/or move 20 pounds with or without accommodation

- Heavy walking is required

WHY JOIN GETIXHEALTH?:

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. Were more than revenue cycle experts—were a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and—above all—people.

BENEFITS & INCENTIVES:

- Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.

- Life & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits.

- 401(k) Retirement Plan: Become eligible to participate in the company's 401(k) plan on the first day of the quarter following three months of continuous employment, with a company match to help you invest in your future.

- Paid Time Off: Begin accruing PTO on your first day of employment, promoting a healthy work-life balance from the start.

- Flexible Benefit Options: Tailor your benefits package with a variety of options to meet your individual and family needs.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER