What are the responsibilities and job description for the Eligibility Screener position at GetixHealth?
Eligibility Screener
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) a plus
- 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