Eligibility Specialist II

About the role

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Purpose

The Eligibility Specialist II plays a critical role in supporting patients who are uninsured, underinsured, or facing financial barriers to care. This position is responsible for conducting comprehensive assessments to determine patient eligibility for coverage and reimbursement programs related to No-Fault and Workers' Compensation.

The specialist guides patients through complex reimbursement processes, ensuring they understand their benefits, rights, and available resources. In addition, this role assists patients with applying for government assistance programs, including Medicaid and other public benefits, as well as New Jersey Charity Care.

By serving as a dedicated advocate, the Eligibility Specialist helps minimize financial obstacles, supports timely access to healthcare services, and contributes to the organization's revenue cycle integrity through accurate documentation, coordination, and follow-through.

Work Schedule and Location

• Work Hours: Full time, 40 hours per week, hourly shifts between Monday through Friday from 9:00am to 6:00pm, to meet business needs.
• Primary Locations: This position is onsite and will be required to service the primary hospital locations listed below, where a Drug Free Workplace Policy is enforced.
• Cooper University Hospital 1 Cooper Plaza, Camden NJ 08103 (Emergency Department)

Key Responsibilities

• Handles complex cases related to at least one of the following: Workers' Compensation, PLIGA and No-Fault Insurance in addition to screening for Eligibility programs Medicaid and Charity Care.
• Manage multiple patient cases, prioritizing tasks to meet deadlines and ensure effective follow-up on pending applications.
• Act as a liaison between patients, hospital staff, and government agencies to establish eligibility, secure funding and resolve coverage issues.
• Facilitate the application processes for program areas of specialization, ensuring timely submission of accurate documentation.
• Clearly communicate financial obligations, funding options, and program details to patients in an empathetic and professional manner.
• Maintain accurate and confidential records in compliance with HIPAA and organizational policies.
• Consistently achieve productivity and quality metrics, contributing to the organization's financial counseling objectives.
• Efficiently use multiple systems and databases to gather, track, and report on patient data.
• Complete special projects, as assigned.

Qualifications & Competencies

Required

• 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 provide support to multiple hospital locations and in-home patient visits within assigned market areas based on operational needs.
• Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail.
• Excellent verbal and written communication skills, with the ability to explain complex information clearly and empathetically.
• Ability to identify solutions to financial challenges, leveraging program knowledge to benefit patients.
• Capability to work in a fast-paced environment with changing priorities and patient needs.
• Demonstrate genuine care for patients' needs and concerns, building trust and rapport.
• Work effectively with colleagues, hospital staff, and external agencies to achieve shared goals.
• Ensure all documentation is accurate, complete, and submitted on time.
• Reliable transportation, a valid driver's license, and ability to travel within assigned service area.
• Travel: 10%

Preferred

• Experience in healthcare revenue cycle, financial counseling, or insurance verification.
• Experience with multiple EHR systems: Epic, Cerner, Meditech, etc.
• Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
• Knowledge of medical terminology and healthcare accounts receivable processes.

Pay and benefits

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $20.00 to $22.00 per hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

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