• Eligibility Specialist, On-Site

    Job ID
    2018-23242
    Employment Type
    full-time
    Hours Per Week
    40
    Onsite Work Schedule Details
    (Sun 7pm-3:30am) (Mon 7pm-3:30am) (Tues 4p-12:30p) (Fri 3pm-11:30pm) (Sat 9am-5:30pm) (Off days Wednesday & Thursday)
    Address
    1 Cooper Plaza
    City
    Camden
    State
    NJ
  • Overview

    Do you have a passion and drive for helping others? Do you enjoy feeling rewarded at the end of a day knowing that you helped your community? The Eligibility Specialist works in one of our nThrive service centers, Client Sites or Outreach (Field work) locations to help identify financial assistance programs for the uninsured or underinsured customers.  They assist with the application process and referrals to all State and Federally funded assistance programs, including but not limited to Medicare, Medicaid, Disability and Charity 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.

    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 with customers in a centralized nThrive office, client site or home environment to determine eligibility for financial assistance.
    • Use nThrive 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.
    • Collect and process upfront deposits or set up payment arrangements, as required.
    • Conduct the appropriate application support based upon state or federal regulations. Facilitates the application process or directs the customer to the appropriate next step.
    • Provide instruction or work directly with the customer or their appointment of 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.
    • Provide superior customer service and maintains a professional image.
    • Meet or exceed established productivity, quality and revenue metrics.

    Qualifications

    • High school diploma or GED.
    • At least six months of experience in a customer service role, interacting directly with customers either in-person or over the phone.
    • Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievements of performance metrics.
    • Demonstrated experience communicating effectively with a customer and simplifying complex information.
    • Experience in a role that requires accessing multiple databases simultaneously or managing multiple open screens to gather information to discuss with a customer.
    • Experience with customer interactions that require live, accurate documentation of the encounter.
    • Ability to handle sensitive information and maintain HIPAA compliance.
    • Demonstrated ability to navigate Internet Explorer and Microsoft Office.
    • Maintain acceptable attendance and schedule requirements.
    • Proven time management skills.
    • Must be able to drive personal automobile (Required for Field Positions only).
    • Amount of travel required: moderate (Field Positions only).

    Preferred Skills

    • Bilingual in English and Spanish (or any other languages).
    • Six months of experience working within financial counseling in a Hospital, Physician office or home environment, including demonstrated success obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations.
    • Understand federal or state government agencies including Social Security, Medicaid or charity care, healthcare accounts receivable within the healthcare revenue cycle touching patient accounts
    • At least six months of experience working in a role with a high volume of either inbound or outbound calls through an automatic dialer.

    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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