Eligibility Specialist 2

$37,440 - $43,680/Yr

Savista - Tempe, AZ

Full-time - Entry Level

Tempe, AZ

About the position

The Eligibility Specialist at Savista plays a crucial role in assisting uninsured or underinsured customers in navigating financial assistance programs. This position involves direct interaction with clients to determine eligibility for various state and federally funded programs, acting as an advocate and liaison between customers, healthcare providers, and government agencies. The specialist is responsible for ensuring a smooth application process and providing exceptional customer service while adhering to compliance regulations.

Responsibilities

• Handle high volume of inbound/outbound calls for customers needing financial and medical screening for assistance.
• Perform face-to-face or phone interviews with customers to determine eligibility for financial assistance.
• Provide superior customer service while working with multiple clients and platforms.
• Use Savista's eligibility screening tool to assess customer eligibility for state and federally funded programs.
• Facilitate the application process and direct customers to the appropriate next steps based on regulations.
• Conduct follow-ups for multiple eligibility programs and collect/process upfront deposits or payment arrangements as needed.
• Assist customers in completing applications and acquiring necessary documentation.
• Submit applications and supporting documents according to company protocol.
• Act as an advocate for customers and liaise with colleagues, hospital personnel, and government agencies to establish eligibility coverage.
• Maintain AIDET guidelines and meet established productivity metrics.

Requirements

• High school diploma or GED.
• 2+ years of experience in a customer service role, interacting directly with customers either in-person or over the phone.
• Intermediate knowledge of patient access services and its impact on the revenue cycle.
• Thorough understanding of commercial and government insurance plans, payer networks, and medical terminology.
• Demonstrated experience in effective communication with customers and simplifying complex information.
• Ability to handle escalated customer and client issues effectively.
• Proven capability to think critically and drive successful solutions for client and/or patient concerns.
• Experience managing multiple critical priorities while ensuring quality and performance metrics are met.
• Experience accessing multiple databases simultaneously or managing multiple open screens during customer interactions.
• Ability to handle sensitive information while maintaining HIPAA compliance.

Nice-to-haves

• Bilingual in English and Spanish (or other languages).
• 2 years of experience in financial counseling within a hospital or physician office.
• Thorough understanding of federal or state government agencies like Social Security and Medicaid.
• 2+ years of experience in a high-volume call role using an automatic dialer.

Benefits

• Competitive hourly wage between $18.00 to $21.00.
• Opportunities for professional development and training.
• Supportive work environment focused on healthcare improvement.