Eligibility Representative

Since 1993, Our team is driven to make the DECO/Elevate PFS Difference each day!  

We believe exceptional efforts produce exceptional results; focusing on a compassionate, empathetic patient-advocacy approach to eligibility services that not only provides hospitals with a targeted revenue flow solution for their uninsured and under-insured populations, but greatly enhances patient satisfaction.

JOB SCOPE:

Eligibility Representatives will attempt to perform detailed in-house review, bedside and/or phone interviews to determine if patient is a viable candidate for State, Federal, County, Medical or Disability Assistance, and if so to assist the patient/guarantor with the application process for any Assistance type program. This assistance will include the necessary investigative, field, and administrative work needed to assist the patient in meeting eligibility requirements for Disability, Medicaid or other applicable County, Federal or State programs if appropriate.

JOB RESPONSIBILITIES:
-Screen patients and/or patient’s representative to determine potential eligibility for Third Party Resources.
-Explain to patients and other entities the eligibility requirements, application process and verification requirements for applicable programs.
-Facilitate the application process when appropriate for the patient by assisting the patient in completing the application, scheduling appointment interviews and obtaining required verifications.
-Document pertinent patient information in the appropriate systems dictated by the health care facility and DECO/ElevatePFS.

An equal opportunity employer

• Good customer service skills
• Basic computer skills
• Ability to pay attention to detail and great follow through
• Some DFACS Experience
• Bilingual Spanish is a plus

All your information will be kept confidential according to EEO guidelines.