Salary
💰 $70,000 - $80,000 per year
About the role
- Oversight and leadership of the Eligibility team, ensuring smooth operations and exceptional service delivery to client(s)
- Team management, overseeing daily workflows, workload distribution, optimization, and meeting service-level agreements with the Client
- Monitor team and individual performance and quality metrics, provide regular feedback, and implement corrective action and performance improvement plans as necessary
- Partner with Eligibility Specialist III to create and deliver training programs for colleagues
- Collaborate with senior leadership to develop and execute strategies for improving patient eligibility processes and outcomes
- Act as an escalation point for complex cases, working with internal and external stakeholders to resolve issues promptly
- Partner with hospital leadership, government agencies, and other departments to ensure seamless processes and patient care
- Travel regularly to assigned facilities to support colleagues and build relationships with hospital leadership and external stakeholders
- Maintain accurate and confidential records in compliance with HIPAA and organizational policies
- Efficiently use multiple systems and databases to gather, track, and report on patient data
- Complete special projects, as assigned
Requirements
- Bachelors Degree in healthcare administration, business, other related field or equivalent experience
- Proficiency in English and Spanish
- At least 5 years of experience in healthcare eligibility, revenue cycle, or financial counseling roles
- At least 2 years in leadership or supervisory capacity
- Proven ability to lead and motivate teams, fostering a culture of collaboration and accountability
- Excellent problem-solving skills, with ability to de-escalate and/or resolve complex patient or operational issues
- Flexibility to provide support to multiple hospital locations within assigned market
- Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail
- Excellent verbal and written communication skills
- Ability to identify solutions to financial challenges, leveraging program knowledge to benefit patients
- Capability to work in a fast-paced environment with changing priorities and patient needs
- Demonstrate genuine care for patients’ needs and concerns
- Work effectively with colleagues, hospital staff, and external agencies
- Ensure all documentation is accurate, complete, and submitted on time
- Reliable transportation, a valid driver’s license, and ability to travel within assigned service area
- Travel: Regular travel to facilities within assigned market is required (estimated 20-30%)
- Preferred: Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability
- Preferred: Knowledge of medical terminology and healthcare accounts receivable processes