Eligibility Specialist 1
About The Position
The Eligibility Specialist I advocates for uninsured and underinsured patients by assessing eligibility for financial assistance and guiding patients through applications for government and charity-funded programs. The role supports patients in accessing medical care while ensuring accurate documentation and compliance with healthcare regulations. It requires empathy, attention to detail, and the ability to navigate healthcare systems and explain financial options clearly. This is a full-time, hourly position scheduled for 40 hours per week. The available shift is Tuesday through Friday, 10:00 a.m. to 6:30 p.m., and Saturday, 8:00 a.m. to 4:30 p.m. Flexibility is required to meet business needs. The position is onsite, primarily at Resurrection Medical Center in Chicago, Illinois, with limited support at other nearby hospital locations as needed for vacancy coverage.
Requirements
- High school diploma or GED.
- At least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling.
- Flexibility to support nearby hospital locations within the assigned market area as needed for vacancy coverage.
- Strong organizational skills and ability to manage multiple priorities while maintaining accuracy and attention to detail.
- Excellent verbal and written communication skills, including the ability to explain complex information clearly and empathetically.
- Ability to identify solutions to financial challenges and use program knowledge to benefit patients.
- Ability to work in a fast-paced environment with changing priorities and patient needs.
- Demonstrated care for patients’ needs and concerns and ability to build trust and rapport.
- Ability to work effectively with colleagues, hospital staff, and external agencies.
- Ability to ensure documentation is accurate, complete, and submitted on time.
- Reliable transportation and a valid driver’s license.
Nice To Haves
- Proficiency in English and Spanish, Arabic, or Polish.
- Experience in healthcare revenue cycle, financial counseling, or insurance verification.
- Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
- Knowledge of medical terminology and healthcare accounts receivable processes.
Responsibilities
- Meet with patients in person, including bedside visits, to assess financial assistance eligibility and provide compassionate guidance on available programs.
- Facilitate applications for programs such as Medicaid, Medicare, Disability, and hospital charity care, ensuring accurate documentation is submitted on time.
- Liaise with patients, hospital staff, and government agencies to establish eligibility, secure funding, and resolve coverage issues.
- Manage a high caseload, prioritize tasks, meet deadlines, and follow up on pending applications.
- Clearly and empathetically communicate patients’ financial obligations, funding options, and program details.
- Maintain accurate and confidential records in accordance with HIPAA and organizational policies.
- Meet productivity and quality metrics in support of financial counseling objectives.
- Use multiple systems and databases to gather, track, and report patient data.
- Assist with vacancy coverage at nearby hospital locations as needed.
- Complete special projects as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
