Eligibility Screener (Concord, CA)

GetixHealth

Posted 2 months ago

Full Time

Concord, California

In Person

Smart Summary

Responsibilities

The Eligibility Screener assists patients with applications for third-party resources and insurance to cover medical bills. They are responsible for maintaining proactive communication with patients and hospital staff to ensure timely certification for eligibility programs.

Qualifications

You have a High School diploma or GED and bilingual Spanish skills, along with proficiency in Microsoft Office. You are also comfortable working within a hospital environment, interacting with patients and healthcare staff to help them navigate insurance and eligibility for medical services.

Must Have Skills for ATS

Bilingual (Spanish)

Microsoft Office

Healthcare coverage

Eligibility experience

Job Description

Eligibility Screener- (Bilingual Required)

Compensation: $24.00/hr. + Quarterly Bonus Eligible

Work shift Monday-Friday 8:00am- 4:30pm (onsite John Muir Health - Concord)

If you are a caring, compassionate individual with a sense of community, we have a rewarding career available for you.

    • Do you want to help those within need in your community?
    • Would you be interested in assisting healthcare patients to find insurance to assist with their medical bills?
    • Work in a local hospital assisting patients with applications for third-party resources including state aide.

Principal Responsibilities:

  • Maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification for eligibility programs.
  • Retrieve and forward requested records and information, including medical records, insurance policy information, remittance advice, and itemized statements, to appropriate parties.
  • Analyze, distribute, and follow-up on special requests and adjustments with hospital personnel.
  • Maintain consistent proactive communication with the patient or patient representative throughout the eligibility process, keeping the patient informed of the account progress.
  • Screen patients and/or patient representatives to determine potential eligibility for Third Party resources.
  • Communicate effectively with physicians, case managers, social workers, and hospital business office staff on a daily basis to ensure questions are answered and issues are addressed.
  • Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs.
  • Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance.
  • Document pertinent patient information and all work activity in the appropriate systems dictated by company policies and procedures.
  • Ensure accounts are processed in accordance to Eligibility Program standards, Client expectations, and all applicable federal and state regulations guidelines.
  • Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.
  • Perform other duties as assigned by management.

Requirements:

  • Willing and able to work inside of a hospital, including visiting hospital rooms to complete tasks, which requires individual to be fully vaccinated, including COVID-19 vaccine and booster, current Flu shot and drug screening
  • High School diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired
  • Previous healthcare coverage/eligibility experience preferred
  • Proficient personal computer skills including Microsoft Office
  • Ability to maintain the highest level of confidentiality
  • Bilingual (Spanish) required- job requires communication with Spanish-speaking patients/customers
  • Excellent interpersonal, written, and oral communication skills
  • Willing to work inside of a hospital including visiting hospital rooms to complete tasks
  • 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

Work Environment:

  • Office environment within a local hospital
  • Ability to lift and/or move 20 pounds with or without accommodation
  • Heavy walking is required

WHY JOIN GETIXHEALTH?:

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We’re more than revenue cycle experts—we’re a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and—above all—people.

BENEFITS & INCENTIVES:

  • Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
  • Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
  • 401(k) Plan: Eligible to participate in the company’s 401(k) plan after three (3) months of continuous service.
  • Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
  • Flexible Benefits: Customize your benefits package to fit your personal and family needs.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER

GetixHealth

GetixHealth provides hospitals, clinics, university medical centers, and other healthcare facilities across the United States with comprehensive revenue cycle management (RCM) services. Our services are customized to the needs of our client and can either include all facets of the front and back office revenue cycle or a mixture of these services, including but not limited to: medical coding and billing, claims management, insurance eligibility services, medicaid/medicare specialized services, and self pay and bad debt collections.
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