Eligibility Screener / Insurance Follow-Up Specialist - San Antonio, TX bei GetixHealth

• Location: San Antonio, Texas
• Schedule: Monday – Friday, 9:00 AM – 6:00 PM
• Pay: $19.00/hour + Quarterly Bonus Eligibility

We’re looking for a detail-oriented and motivated Eligibility Screener / Insurance Follow-Up Specialist to join our team! In this role, you’ll help patients navigate eligibility programs, follow up on claims, and ensure timely payment resolutions with insurance companies and Medicaid agencies.

RESPONSBILITIES:

• Follow up with insurance companies and Medicaid agencies on billed claims and submitted applications to ensure prompt status updates and payment resolution.

• Screen patients or their representatives to determine eligibility for third-party programs and assist with completing required documentation.

• Communicate proactively with patients, hospital staff, case managers, and government agencies to provide updates and resolve issues.

• Retrieve and review medical records, insurance details, and other supporting documentation as needed.

• Accurately document all activities in company systems while meeting quality, productivity, and compliance standards.

• Support overall program goals and perform additional duties as needed.

MINIMUM REQUIREMENTS:

• High school diploma or GED required (equivalent education/work experience considered).

• Prior experience in healthcare coverage, eligibility, or revenue cycle management preferred.

• Knowledge of healthcare regulations (HIPAA, FMLA, Medicare, etc.).

• Proficient in Microsoft Office (Word, Excel, Outlook) and comfortable navigating multiple systems.

• Strong data entry and documentation skills with exceptional attention to detail.

CORE COMPETENCIES:

• Excellent interpersonal, written, and verbal communication skills.
• Proven customer service experience in a fast-paced environment.
• Strong organizational, multitasking, and time management abilities.
• Able to work independently and collaboratively in a team setting.
• Handles confidential information with integrity and professionalism.
• Bilingual (Spanish/English) strongly preferred.

WORK ENVIRONMENT & SCHEDULE:

• Office-based role with standard equipment (PC, phone, keyboard, etc.).
• Must be able to sit for extended periods; occasional lifting up to 25 lbs.
• Flexibility to work evenings or weekends as needed.

WHY JOIN GETIXHEALTH?:

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, serving clients across the U.S. and India. With more than 1,800 team members, we take pride in fostering a culture built on professionalism, innovation, and compassion.

BENEFITS & INCENTIVES:

• Comprehensive Health Coverage: Medical, Dental, and Vision (eligibility after 60 days).
• Life & Disability Insurance: Basic, short-term, long-term, and voluntary options.
• 401(k) Plan: Eligible after 6 months of continuous service
• Paid Time Off (PTO): Accrue from day one + Paid Holidays
• Flexible Benefits: Customize your 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.