Eligibility Specialist II

Savista • Camden, NJ

7d • $20 - $22 • Onsite

About The Position

The Eligibility Specialist II supports patients who are uninsured, underinsured, or facing financial barriers to care. The role conducts comprehensive assessments to determine eligibility for coverage and reimbursement programs related to No-Fault and Workers’ Compensation, guides patients through reimbursement processes, and explains benefits, rights, and available resources. The specialist also assists patients with applications for government assistance programs, including Medicaid and other public benefits, as well as New Jersey Charity Care. The position advocates for patients while helping reduce financial barriers, support timely access to healthcare, and maintain revenue cycle integrity through accurate documentation, coordination, and follow-through.

This is an onsite position primarily serving Cooper University Hospital’s Emergency Department in Camden, New Jersey. The role is full-time, 40 hours per week, with hourly shifts scheduled Monday through Friday between 9:00 a.m. and 6:00 p.m. to meet business needs. Support at multiple hospital locations and in-home patient visits within assigned market areas may be required; travel is 10%. The salary range is $20.00 to $22.00 per hour, with compensation varying based on factors including location, experience, certifications, and skills.

Requirements

• High school diploma or GED.
• Proficiency in English and Spanish.
• At least 1–2 years of experience in healthcare eligibility or financial counseling.
• Flexibility to support multiple hospital locations and conduct in-home patient visits within assigned market areas based on operational needs.
• Strong organizational skills and the 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.
• 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; ability to travel within the assigned service area.
• Ability to travel 10%.

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

• Handle complex cases involving at least one of Workers’ Compensation, PLIGA, or No-Fault Insurance, while screening patients for Medicaid and Charity Care eligibility.
• Manage multiple patient cases, prioritizing tasks to meet deadlines and follow up effectively on pending applications.
• Liaise with patients, hospital staff, and government agencies to establish eligibility, secure funding, and resolve coverage issues.
• Facilitate applications for specialized programs and ensure accurate documentation is submitted on time.
• Explain financial obligations, funding options, and program details to patients in an empathetic and professional manner.
• Maintain accurate, confidential records in compliance with HIPAA and organizational policies.
• Meet productivity and quality metrics that support financial counseling objectives.
• Use multiple systems and databases to gather, track, and report patient data.
• Complete special projects as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED