Eligibility Screener (Gilbert, AZ)

ARstrat•Gilbert, AZ

7d•Onsite

About The Position

This role involves assisting healthcare patients within a local hospital to find insurance and navigate applications for third-party resources, including state aid. The ideal candidate is a caring and compassionate individual with a sense of community, dedicated to helping those in need and ensuring patients have the necessary medical coverage for their bills.

Requirements

Willing and able to work inside of a hospital, including visiting hospital rooms to complete tasks.
Must be fully vaccinated, including COVID-19 vaccine and booster, current Flu shot, and pass a drug screening.
High School diploma or General Educational Development (GED) certificate or equivalent in relevant work experience.
Proficient personal computer skills including Microsoft Office.
Ability to maintain the highest level of confidentiality.
Excellent interpersonal, written, and oral communication skills.
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

Bilingual (Spanish) preferred.
Previous healthcare coverage/eligibility experience preferred.

Responsibilities

Maintain work activity levels and establish processes for timely eligibility program certification.
Retrieve and forward requested records and information, such as medical records, insurance policy details, remittance advice, and itemized statements.
Analyze, distribute, and follow up on special requests and adjustments with hospital personnel.
Maintain proactive communication with patients or their representatives regarding account progress throughout the eligibility process.
Screen patients and/or their representatives to determine potential eligibility for Third Party resources.
Communicate effectively with physicians, case managers, social workers, and hospital business office staff daily to address questions and issues.
Educate patients and their representatives on eligibility requirements, application processes, and verification needs for applicable programs.
Maintain professional relationships with patients and governmental agencies to ensure cooperation and compliance.
Document patient information and all work activities in designated systems according to company policies.
Ensure accounts are processed in accordance with Eligibility Program standards, client expectations, and all applicable federal and state regulations.
Understand and comply with all policies, procedures, and regulations related to job duties.
Perform other duties as assigned by management.