Eligibility Specialist 2

Savista•Tempe, AZ

18d•Onsite

About The Position

The Eligibility Specialist II advocates for uninsured and underinsured patients by assessing eligibility for financial assistance and guiding them through applications for government- and charity-funded programs. The role requires compassionate support, accurate documentation, and compliance with healthcare regulations. Depending on business needs, the specialist may provide floating support across multiple hospital locations, cover vacancies, or assist as required. The position is full-time, hourly, and onsite, with a primary location at Honor Health Tempe Medical Center in Tempe, Arizona. The schedule is 40 hours per week, with shifts available Monday through Saturday between 8:00 a.m. and 7:00 p.m. Flexibility is required to meet business needs, including support at multiple hospital locations and in-home patient visits within the assigned market area.

Requirements

High school diploma or GED.
At least 2 years of experience in a customer-facing role, preferably in healthcare or financial counseling.
Flexibility to support multiple hospital locations and conduct in-home patient visits within the assigned market area as operational needs require.
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 using program knowledge to benefit patients.
Ability to work in a fast-paced environment with changing priorities and patient needs.
Ability to work independently in locations where potentially only one Eligibility Specialist is assigned.
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, with ability to travel within the assigned service area.

Nice To Haves

Experience in healthcare revenue cycle, financial counseling, or insurance verification.
Experience with multiple EHR systems, such as Epic, Cerner, or Meditech.
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

Conduct advanced in-person eligibility screenings, including bedside visits, and guide patients through available financial assistance programs.
Facilitate applications for Medicaid, Medicare, disability programs, hospital charity care, and other funding options, ensuring accurate and timely documentation.
Liaise with patients, hospital staff, and government agencies to establish eligibility, secure funding, and resolve coverage issues.
Follow up on applications to ensure they are complete and processed efficiently.
Assist with technical medical requirements for disability programs, including arranging medical appointments, completing applications, submitting appeals, and following applications through resolution.
Independently manage multiple patient cases, prioritizing tasks and following up on pending applications to meet deadlines.
Explain financial obligations, funding options, and program details to patients clearly, empathetically, and professionally.
Maintain accurate and confidential records in compliance with HIPAA and organizational policies.
Meet productivity and quality metrics and contribute to financial counseling objectives.
Use multiple systems and databases to gather, track, and report patient data.
Assist with complex cases, including disability applications, appointment setup, and appeals, as needed.
Train and support colleagues as needed to support onboarding and service delivery.
Complete special projects as assigned.