• Eligibility Specialist (Bilingual)

    Job ID
    2018-22081
    Employment Type
    part-time
    Hours Per Week
    15-20 hrs
    Onsite Work Schedule Details
    Work schedule varies, flexible hours, weekends, holidays
    Address
    4500 Salisbury Road
    City
    Jacksonville
    State
    FL
  • Overview

    The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for any applicable governmental medical assistance programs which could include Medicaid, Disability, or Charity programs.The Eligibility Specialist not only acts as an advocate for the patient, but also serves as a liaison to other Team members and to client hospital and government agency staff in a collaborative effort to facilitate eligibility coverage for incurred medical expenses.

    Responsibilities

    • 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 relationships

    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

    • High school diploma or GED
    • Fluent in both English and Spanish
    • Minimum of 3 years of related experience
    • Excellent communication skills, both verbal and written, with the ability understand users’ questions and effectively disseminate technical information
    • Computer data entry and word processing skills with the ability to operate routine office equipment 
    • Working knowledge of computer programs including Microsoft Excel
    • Ability to type at least 30 wpm
    • Valid driver’s license
    • Proof of Auto insurance coverage

    Preferred Skills

    • Experience in hospital business office and/or Medicaid casework 
    • Knowledge of Government eligibility program requirements 

    About nThrive

    Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.

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