Eligibility Representative

Essential Job Duties:

• Answer phone calls in a professional and courteous manner, taking appropriate action
• Screen patients using a positive, respectful, and courteous tone.
• Utilize screening and determination forms to assist self-pay patients in applying for possible eligible programs and financial aid.
• Assist patients in obtaining all papers and proof necessary so that the case can be reviewed by appropriate case worker(s).
• Assist patients in completion of all applications. This may include assisting the patient with the required reading, writing and/or explanation of the questions on the application.
• Maintain a high level of accuracy on all forms.
• Facilitate payment through established ESS Collection protocols.
• Contact the patient prior to and after the appointment to ensure that the appointments are kept.
• Assist to secure transportation for patients to attend application appointments as necessary.
• Conduct visits to patients’ home and local agencies to conduct screening interviews, complete applications, gather necessary verification documents, drop off applications, and check status of applications.
• Work closely with governmental agencies to complete the application processes for patients.
• Enter correct patient data into the computer terminals. Review and follow-up on patient accounts in a timely manner. Maintain and update all patient accounts to reflect current information in a timely manner.
• Skip trace accounts as needed.
• Monitor accounts to ensure patient payments are received and applied to patient accounts by facility cashiers.
• Report work in progress, addressing any backlogs, and providing a course of resolution to the Site Manager and/ or Client Services Manager/Director.
• Comply with Hospital policy and procedures and pertinent laws or regulations
• Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients and their families.
• Follow accepted safety practices for patients and hospitals, report safety hazards and initiate appropriate action, and participate in safety instructional programs.
• Must be able to pass and maintain Certification for Application Counseling for states necessary for position.
• Other duties as assigned

Job Qualifications:

• High school diploma required
• 1 year of experience in customer service / healthcare business office / or social services
• Customer facing experience

Experience

• At least 1 year of healthcare experience -proficiency in Microsoft Word and Excel -type at least 80 wpm -attention to detail -ability to multitask -meet productivity standards -comply with hospital policies -have reliable transportation as well as proof of valid license and auto insurance -drug test required as well as passing a background check Prior experience in collections and knowledge of HIPAA,EMTALA, and PHI are a plus.

Behaviors

• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization