Eligibility Screener-Grass Valley

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Requisition ID: 130453
Job Category: Call Center
Location: United States-California-Grass Valley-Sierra Nevada Memorial Hospital
Posted Date: 2/28/2018 9:15:32 PM
At Alorica, we only do one thing – make lives better, one interaction at a time. We’re a global leader in customer service and experience, serving the world’s biggest brands with tens of thousands of employees in hundreds of locations around the globe.
Your mission (should you choose to accept it) is to offer customer support through phone, email, online chat or social media to customers who have questions, concerns or confusion around a particular product or service.
You’re literally the voice of the brand, and a strong relationship between our clients and their customers starts with you. So only the awesome need apply.
Ready to start? Chat with us to begin the process now:  (https://olivia.recruiting.ai/co/Alorica
  • 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.

Every day, we aim to live up to our mission of creating insanely great customer experiences. But as Alorica employees, giving back matters just as much – that’s why we’re so proud of Making Lives Better with Alorica, a non-profit, 501(c)(3) organization dedicated to providing assistance to employees, their families and the people, organizations and communities who support them.
Simply put, we want to make lives better…one interaction at a time. And to do that, we need the very best people to join us.
But please, allow us to entice you further! As an Alorica employee, you may receive:

  • Paid training
  • Flexible training schedules
  • Medical and dental benefits
  • Paid time off
  • Paid holiday and sick time
  • Retirement planning options (401(k))
  • Employee discounts through client programs
Working at Alorica means potentially having the freedom to explore all kinds of career options – from customer service, training, and tech support, to management, recruiting and more. Alorica offers fun, challenging opportunities to pursue your professional goals, and we want you to have fun and succeed – because when you’re at your best, that’s when we’re at our best. 
So what do you say? Ready to take the next step?
Minimum Education and Experience:
  • High School Diploma or GED required; college degree preferred
  • Customer service experience a plus
  • Phone-related customer service a major plus
  • Familiarity with Microsoft Windows, Word, and Excel applications
  • Bilingual language skills a plus

Knowledge, Skills and Abilities:

  • Stellar customer service skills – and an overwhelming desire to make lives better, one interaction at a time
  • Ability to use phone and computer systems
  • Excellent oral and written communication skills
  • Strong listening/comprehension skills
  • Ability to stay composed and objective
  • Conversational, patient and confident, with a positive attitude

Work Environment

  • A climate controlled, contact center environment – filled with amazing people, incredible career opportunities and the occasional dance-off
  • Constant usage of phone and computer systems

Physical Demands
Constant sedentary work. You’ll typically be sitting for most of the time, so be sure get up and stretch once in a while. Your circulatory system will thank you.
DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees in this classification. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Let’s make lives better. Let’s defy the status quo. And let’s go beyond thinking outside the box – and decide to obliterate the box instead.
You ready? Let’s do this.

About Alorica:


Alorica is an equal opportunity employer and committed to diversity in its workforce. Alorica recruits qualified applicants and makes all employment-related decisions based exclusively on job-related qualifications, without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, disability, veteran status, citizenship status, sexual orientation, gender identity, or any other status protected by law.

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