Eligibility Specialist III (Emergency Department)

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Company Overview

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to solve problems and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Purpose

The Eligibility Specialist III is a critical advocate for patients, helping uninsured and underinsured individuals access financial assistance for medical care. This role serves as a subject matter expert and team leader, responsibility for training new colleagues, delivering ongoing education, and supporting colleagues across multiple hospital locations. Successful candidates have a passion for mentoring others, are empathetic, detail-oriented, and skilled at navigating healthcare systems to support patients in receiving the care they need.

Work Schedule and Location:

• Work Hours: Full time, 40 hours per week, hourly shifts between Monday through Friday from 8:00am to 5:00pm, to meet business needs.
• Primary Locations: This position is onsite and will be required to service the primary hospital locations listed below, where a Drug Free Workplace Policy is enforced.
  • Cooper University Hospital 1 Cooper Plaza, Camden NJ 08103 (Emergency Department)

Key Responsibilities

• Serve as a subject matter expert in specialized eligibility areas, handling complex cases related to at least one of the following: Workers’ Compensation, PLIGA and No-Fault Insurance in addition to screening for Eligibility programs Medicaid and Charity Care.
• Manage multiple patient cases, prioritizing tasks to meet deadlines and ensure effective follow-up on pending applications.
• Act as a liaison between patients, hospital staff, and government agencies to establish eligibility, secure funding and resolve coverage issues.
• Act as a resource for colleagues by providing training, coaching, and technical assistance on specialized programs.
• Facilitate the application processes for program areas of specialization, ensuring timely submission of accurate documentation.
• Clearly communicate financial obligations, funding options, and program details to patients in an empathetic and professional manner.
• Maintain accurate and confidential records in compliance with HIPAA and organizational policies.
• Consistently achieve productivity and quality metrics, contributing to the organization's financial counseling objectives.
• Efficiently use multiple systems and databases to gather, track, and report on patient data.
• Complete special projects, as assigned.

Qualifications & Competencies:

Required:

• High school diploma or GED
• Proficiency in English and Spanish
• At least 3 years of experience in healthcare eligibility or financial counseling.
• Flexibility to provide support to multiple hospital locations and in-home patient visits within assigned market areas based on operational needs.
• Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail.
• Excellent verbal and written communication skills, with the ability to explain complex information clearly and empathetically.
• 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, building trust and rapport.
• Work effectively with colleagues, hospital staff, and external agencies to achieve shared goals.
• Ensures 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: 10%

Preferred:

• Experience in healthcare revenue cycle, financial counseling, or insurance verification.
• Experience with multiple EHR systems: Epic, Cerner, Meditech, etc.
• Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
• Knowledge of medical terminology and healthcare accounts receivable processes.

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $20.00 to $24.00 per hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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