Eligibility Specialist
1 month ago
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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