Bilingual Eligibility Screener (onsite) - San Antonio, TX

ARstrat • San Antonio, TX

17h • Onsite

About The Position

The Bilingual Eligibility Screener will maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification for eligibility programs. This role involves screening patients and/or patient representatives to determine potential eligibility for Third Party resources, retrieving and forwarding requested records, analyzing and distributing special requests, and maintaining proactive communication with patients. The screener will also educate patients on eligibility requirements and processes, communicate effectively with hospital staff, and maintain professional relationships with patients and governmental agencies. Documentation of patient information and work activity is crucial, ensuring all accounts are processed in accordance with Eligibility Program standards, client expectations, and federal and state regulations. The position requires understanding and complying with all relevant policies, procedures, and regulations, and performing other duties as assigned by management.

Requirements

• High school diploma or GED required; equivalent combination of education and relevant work experience will be considered.
• Previous experience in healthcare coverage, eligibility, or revenue cycle management preferred.
• Working knowledge of healthcare regulations, including HIPAA, FMLA, Medicare, and other applicable laws and guidelines.
• Knowledge of SSI/SSDI preferred.
• Proficient in Microsoft Office applications (Word, Excel, Outlook) and comfortable navigating multiple computer systems and databases.
• Strong data entry and documentation skills with a high degree of accuracy and attention to detail.
• Bilingual in Spanish.

Nice To Haves

• Previous experience in healthcare coverage, eligibility, or revenue cycle management.
• Knowledge of SSI/SSDI.

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.

Benefits

• Medical, dental, and vision plans available starting after 60 days of full-time employment.
• Basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• Eligible to participate in the company’s 401(k) plan after 6 months of continuous service.
• Start accruing PTO from your very first day of employment.
• Flexible Benefits: Customize your benefits package to fit your personal and family needs.
• Quarterly Bonus (Eligible based on production and QA)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED