Bilingual Eligibility Specialist 1

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).

The Bilingual Eligibility Specialist 1 works in one of our Savista service centers, Client Sites, Remote or Outreach (Fieldwork) locations to help identify financial assistance programs for the uninsured or underinsured customers (Remote/Onsite).  They assist with the application process and referrals to all State and Federally funded assistance programs, including but not limited to Medicare, Medicaid, Disability, Charity and FAP (Financial Assistance) programs. The Eligibility Specialist not only acts as an advocate for the customer, but also serves as a liaison between colleagues, clients, and State/Government agencies in a collaborative effort to facilitate eligibility coverage for current and future medical expenses.

Must be able to work onsite:

• Work 1 Saturday and 1 Sunday a month 
• Work 9:30am-630pm or 10am-7pm

Responsibilities:

• Handle high volume of inbound/outbound calls for customers that need to be screened financially and medically for financial assistance.
• Perform face to face interviews and/or phone interviews with customers in a centralized Savista office, client site or home environment to determine eligibility for financial assistance.
• Provide superior customer service to multiple clients and/or working with multiple client platforms. 
•  Use Savista’s eligibility screening tool to determine customers eligibility for all State and Federally funded programs that will provide financial assistance to resolve current or future hospital bills. 
• Conduct the appropriate application support based upon state or federal regulations. Facilitates the application process or directs the customer to the appropriate next step.
• Perform specialty follow up for multiple eligibility programs.
• Collect and process upfront deposits or set up payment arrangements, as required.
• Provide instruction or work directly with the customer or their appointment of a representative to complete the appropriate application and acquire all necessary releases, signatures and supporting documents.
• Submit the application and supporting documentation to the appropriate institution in accordance with company protocol. 
• Act as an advocate for the customer, but also serves as a liaison to other colleagues, client hospital personnel, and government agency staff in a collaborative effort to establish eligibility coverage for future or incurred medical expenses.
• Maintain AIDET guidelines (acknowledge the patient, introduce yourself, explain the duration or timeline of your process, explain to them what you are doing, thank the patient for their time).  
• Meet or exceed established productivity with the support of the supervisor, QA team, educational materials and webinars, and partner with their colleagues, achieve accuracy rate of 95%.  Maintaining Financial Assistance or Charity Care application processing error ratio of less than 5%. 
• May travel up to 20% to government agencies, patient homes, or other facilities/hospitals. (Per contract as needed)
• Provide superior healthcare customer service and maintain a professional image.  
• Maintain acceptable attendance, appointments, and schedule requirements.
• Supports Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista’s business practices. This includes becoming familiar with Savista’s Code of Ethics, attending training as required, notifying management or Savista’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.

Requirements:

• Bilingual in English and Spanish (or any other languages).
• Work 1 Saturday and 1 Sunday a month 
• Work 9:30am-630pm or 10am-7pm
• High school diploma or GED.
• 2+ years of experience in a customer service role, interacting directly with customers either in-person or over the phone. 
•  Intermediate knowledge of patient access services and the overall effect on the revenue cycle.
• Demonstrated experience communicating effectively with a customer and simplifying complex information.
• Demonstrated ability to handle escalated customer and client issues.
• Proven capability to t