Monday - Friday 10 AM to 7 PM
$18.50 - $19.00 (based on experience) an hour
Quarterly Bonus Eligible
*** Bilingual (Spanish) Required ***
RESPONSBILITIES:
- 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.
WHY JOIN GETIXHEALTH?:
Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We’re more than revenue cycle experts—we’re a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and—above all—people.
BENEFITS & INCENTIVES:
- Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
- Life & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits.
- 401(k) Retirement Plan: Become eligible to participate in the company's 401(k) plan on the first day of the quarter following three months of continuous employment, with a company match to help you invest in your future.
- Paid Time Off: Begin accruing PTO on your first day of employment, promoting a healthy work-life balance from the start.
- Flexible Benefit Options: Tailor your benefits package with a variety of options to meet your individual 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.