Eligibility Screener (St Joseph- Phoenix)

GetixHealth•Phoenix, AZ

11d•Onsite

About The Position

This role involves assisting healthcare patients within a local hospital to find insurance and third-party resources to help with their medical bills. The Eligibility Screener will guide patients through applications for state aid and other programs, ensuring they understand the requirements and process. The position requires maintaining a high level of communication with patients, hospital staff, and governmental agencies, while adhering to all company policies, procedures, and regulations.

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
Proficient personal computer skills including Microsoft Office
Ability to maintain the highest level of confidentiality
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

Nice To Haves

Previous healthcare coverage/eligibility experience preferred
Bilingual (Spanish) a plus

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.