Eligibility Screener - San Antonio, TX (Bilinigual)

Overview Schedule: Monday - Friday 10 AM to 7 PM Compensation: $18.50 - $19.00 per hour (based on experience) Quarterly Bonus Eligible 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. Minimum Requirements High school diploma or GED required; equivalent combination of education and relevant work experience will be considered. Previous experience in healthcare coverage, eligibility, or revenue cycle management preferred. Working knowledge of healthcare regulations, including HIPAA, FMLA, Medicare, and other applicable laws and guidelines. Knowledge of SSI/SSDI preferred. Proficient in Microsoft Office applications (Word, Excel, Outlook) and comfortable navigating multiple computer systems and databases. Strong data entry and documentation skills with a high degree of accuracy and attention to detail. Core Competencies Excellent interpersonal, written, and verbal communication skills, with the ability to interact professionally at all levels. Proven customer service experience, especially in high-volume or fast-paced environments. Ability to manage multiple priorities effectively while maintaining quality and accuracy. Strong organizational and time-management abilities with a process-oriented mindset. Comfortable working independently and collaboratively in a team-focused environment. Skilled in handling confidential and sensitive information with integrity and discretion. Bilingual in Spanish. Work Environment & Schedule Ability to adapt to a flexible work schedule, including evenings and weekends, as needed. Demonstrated ability to thrive in a fast-paced, multitasking environment while meeting performance metrics and service level expectations. Strong presentation and active listening skills to effectively engage with patients and team members. Office-based role requiring long periods of sitting and regular use of standard office equipment (PC, phone, keyboard, etc.). Occasional lifting may be required up to 25 lbs. Must be able to sit for extended periods of time with frequent bending and stooping. Benefits & Incentives Comprehensive Health Coverage: Medical, dental, and vision plans available starting after 60 days of full-time employment. Life & Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans. 401(k) Plan: Eligible to participate after 6 months of continuous service. Paid Time Off (PTO): Start accruing PTO from the first day of employment. Flexible Benefits: Customize your benefits package to fit personal and family needs. GetixHealth is an Equal Opportunity and E-Verify Employer. Note: This job description is not intended to be an exhaustive list of responsibilities or qualifications and may be subject to change based on business needs. #J-18808-Ljbffr GetixHealth