Eligibility Screener; Bakersfield, CA

Eligibility Screener - Bakersfield, CA

Work shift: Monday-Friday 8:00am-4:30pm (onsite Hospital), alternating weekends.

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

• Assist healthcare patients with applications for third-party resources including state aide.
• Help determine eligibility for third-party resources and guide patients through the application process.

• Maintain the appropriate level of work activity according to standards and establish processes to ensure timely certification for eligibility programs.
• Retrieve and forward requested records and information (medical records, insurance policy information, remittance advice, itemized statements) to appropriate parties.
• Analyze, distribute, and follow up on special requests and adjustments with hospital personnel.
• Maintain proactive communication with the patient or their representative throughout the eligibility process, keeping the patient informed of account progress.
• Screen patients or representatives to determine potential eligibility for Third Party resources.
• Communicate effectively with physicians, case managers, social workers, and hospital business office staff to address questions and issues.
• Educate patients and representatives on eligibility requirements, the 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 per company policies and procedures.
• Ensure accounts are processed in accordance with Eligibility Program standards, client expectations, and applicable federal and state regulations.
• Understand and comply with all policies, procedures, and regulations related to job duties.
• Perform other duties as assigned by management.

• Willing and able to work inside a hospital, including visiting hospital rooms to complete tasks; must be fully vaccinated (including COVID-19 vaccine and booster), current flu shot, and pass drug screening.
• High School diploma or GED or equivalent in relevant work experience.
• Previous healthcare coverage/eligibility experience preferred.
• Proficient computer skills including Microsoft Office.
• Ability to maintain the highest level of confidentiality.
• Bilingual (Spanish) a plus.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team-oriented environment and in a multi-tasked environment.
• Ability to prioritize and organize work; adapt to a flexible schedule.

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

• Comprehensive Health Coverage: medical, dental, and vision plans after 60 days of full-time employment.
• Life & Disability Insurance: basic life/AD&D, short-term and long-term disability; optional voluntary plans available.
• 401(k) Plan: eligible after 3 months of continuous service.
• Paid Time Off (PTO): accrue from first day of employment.
• Flexible Benefits: customize your benefits package to fit personal needs.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER