Eligibility Screener - San Antonio, TX (Bilinigual)

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:

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  Excellent interpersonal, written, and verbal communication skills, with the ability to interact professionally at all levels.

  
  


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  Proven customer service experience, especially in high-volume or fast-paced environments.

  
  


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  Ability to manage multiple priorities effectively while maintaining quality and accuracy.

  
  


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  Strong organizational and time-management abilities with a process-oriented mindset.

  
  


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  Comfortable working independently and collaboratively in a team-focused environment.

  
  


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  Skilled in handling confidential and sensitive information with integrity and discretion.

  
  


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  Bilingual in Spanish.

  
  

WORK ENVIRONMENT & SCHEDULE:

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  Ability to adapt to a flexible work schedule, including evenings and weekends, as needed.

  
  


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  Demonstrated ability to thrive in a fast-paced, multitasking environment while meeting performance metrics and service level expectations.

  
  


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  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 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 6 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 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.