Eligibility Specialist

1 month ago


Manila, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time
Eligibility Specialist Job Opportunity

Assist with application process and referrals to State and Federally funded assistance programs, including Medicare, Medicaid, and Charity programs.

Key Responsibilities:
• Handle high volume of inbound/outbound calls to screen customers for financial assistance.
• Perform face-to-face interviews with customers to determine eligibility for financial assistance.
• Use client eligibility screening tool to determine customers' eligibility for State and Federally funded programs.
• Collect and process upfront deposits or set up payment arrangements.
• Facilitate application process and direct customers to appropriate next steps.
• Provide instruction and support to customers to complete applications and acquire necessary documents.
• Submit applications and supporting documentation to institutions according to company protocol.
• Act as advocate for customers and liaison between colleagues, clients, and government agencies.
• Provide superior customer service and maintain professional image.
• Meet or exceed productivity, quality, and revenue metrics.

Minimum Qualifications:
• High school diploma or GED.
• At least six months of experience in customer service role interacting directly with customers.
• Experience prioritizing multiple critical priorities while ensuring quality and achievements of performance metrics.
• Demonstrated experience communicating effectively with customers and simplifying complex information.
• Ability to handle sensitive information and maintain HIPAA compliance.
• Demonstrated ability to navigate Internet Explorer and Microsoft Office.
• Maintain acceptable attendance and schedule requirements.
• Proven time management skills.

Preferred Requirements:
• Six months of experience working in financial counseling in a Hospital, Physician office or home environment.
• Understand federal or state government agencies including Social Security, Medicaid or charity care, healthcare accounts receivable within the healthcare revenue cycle touching patient accounts.
• At least six months of experience working in a role with a high volume of either inbound or outbound calls through an automatic dialer.

Benefits:
• 15% Night Differential
• HMO Benefits after 30 days + Add Up to 2 Dependents
• Retirement Benefits
• 24 Leave Credits per year
• Wholistic Employee Wellness Program

Company Overview:
Our company provides support services to individuals and families in need of financial assistance.

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