Alorica Eligibility Screener-Bilingual Required in Long Beach, California

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Expert Global Solutions (EGS), an Alorica company, is a global customer service organization, serving the world’s leading companies and best-known brands. With more than 40,000 employees in locations around the world, our people deliver extraordinary service – via phone, email and chat, every day. Embracing a diverse workforce with a shared commitment to deliver outstanding customer service, EGS offers significant opportunity to build a rewarding career, in a dynamic and customer-oriented environment.

  • Principal Responsibilities*

  • 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.

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  • High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired.

  • Previous healthcare coverage/eligibility experience preferred.

  • Proficient personal 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 fostered environment.

  • Ability to work in a multi-tasked environment.

  • Ability to prioritize and organize work.

  • Ability to adapt to a flexible schedule.

  • Work Environment*

  • Office environment.

  • Ability to lift and/or move 20 pounds with or without accommodation.

  • We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.*