Eligibility Screener (Concord, CA)

Job Description

Job Description

Eligibility Screener- (B ilingual Required)

Compensation: $24.00/hr. + Quarterly Bonus Eligible

Work shift Monday-Friday 8:00am- 4:30pm (onsite John Muir Health - Concord)

If you are a caring, compassionate individual with a sense of community, we have a rewarding career available for you.

• Do you want to help those within need in your community?
• Would you be interested in assisting healthcare patients to find insurance to assist with their medical bills?
• Work in a local hospital assisting patients with applications for third-party resources including state aide.

Principal 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.

Requirements:

• Willing and able to work inside of a hospital, including visiting hospital rooms to complete tasks, which requires individual to be fully vaccinated, including COVID-19 vaccine and booster, current Flu shot and drug screening
• High School diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired
• Previous healthcare coverage/eligibility experience preferred
• Proficient personal computer skills including Microsoft Office
• Ability to maintain the highest level of confidentiality
• Bilingual (Spanish) required- job requires communication with Spanish-speaking patients/customers
• Excellent interpersonal, written, and oral communication skills
• Willing to work inside of a hospital including visiting hospital rooms to complete tasks
• Ability to work in a team fostered environment
• Ability to work in a multi-tasked environment
• Ability to prioritize and organize work
• Ability to adapt to a flexible schedule

Work Environment:

• Office environment within a local hospital
• Ability to lift and/or move 20 pounds with or without accommodation
• Heavy walking is required

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 Coverage: Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
• Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• 401(k) Plan: Eligible to participate in the company’s 401(k) plan after three (3) months of continuous service.
• Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
• Flexible Benefits: Customize your benefits package to fit your personal and family needs.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER