Eligibility Specialist

Company: Staffing Now ( Learn More )

General Information
$0.00 - $14.00 /Hour
Not Specified
Not Specified
Not Specified
Job Description

Eligibility Job Summary


  • Provides superior customer service and maintains a professional image
  • Understands and meets the client's needs, internal procedures and goals
  • Produces results that exceed expectations
  • Communicates effectively with multiple constituencies within the facility
  • Establishes and maintains strong working relationship
  • Application Process & Determining Eligibility

  • Review referrals and screen for potential eligibility in appropriate federal/state/local program
  • Contact patient or their representative ASAP to complete the appropriate application and acquire all necessary releases, signatures, documents (including the birth certificate), etc.
  • Submit the application and any acquired documentation in a timely manner to the appropriate agency
  • Advise the applicant of all additional required documentation needs and time frames for compliance
  • Thoroughly enter all actions taken in the hospital account and in the internal data base/system
  • Follow-up & Monitoring

  • Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible
  • Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted
  • Conduct home visits as needed to acquire documentation
  • As per established protocols, inform the client in a timely manner of all approvals and denials of coverage
  • Thoroughly enter all actions taken in the hospital account and in the internal data base/system
  • Qualifications:

  • Bilingual: English/Spanish
  • Requires 1+ years of related experience
  • Excellent communication skills, both verbal and written, with the ability understand users' questions and effectively disseminate technical information is essential
  • Computer data entry and word processing skills and ability to operate routine office equipment are required
  • Working knowledge of computer programs, i.e., Microsoft Excel®
  • Must be able to type at least 30 wpm
  • Preferred Skills:

  • Experience in hospital business office and/or Medicaid casework is highly desirable
  • Knowledge of Government eligibility program requirements is highly desirable
  • 3-6 Month Contract (Temporary)
    $14 Per Hour

    Job Requirements