Eligibility Specialist - Patient Assistance Program

About Us

Healthcare Chaos Management (HCM) is a 40-year-old, nationally scaled healthcare revenue cycle company that is transforming into a cutting-edge Healthcare Fin Tech organization. We serve hospitals and healthcare systems across the U.S., blending human-centric service with intelligent automation to improve patient financial experiences and optimize healthcare revenue operations.

We are seeking a compassionate, detail-oriented Eligibility Specialist to work in a Hybrid role . In this role, you will assist patients in navigating various financial assistance and government programs, ensuring they receive the coverage and support necessary for their healthcare needs. The ideal candidate has a background in healthcare, social services, or patient advocacy and possesses excellent communication skills to guide patients through often complex eligibility criteria and applications.

• Patient Assessment & Documentation
• Meet with patients and families to gather financial and medical information for determining eligibility for Medicaid , Medicare , and charitable assistance programs.
• Maintain detailed, confidential patient records , tracking application progress and eligibility decisions in compliance with HIPAA regulations.
• Application Support & Guidance
• Assist patients with completing applications for government programs and charitable organizations, ensuring accurate and timely submission of all required documents.
• Explain eligibility criteria, application processes, and program benefits clearly and empathetically to patients.
• Collaborate with hospital social workers , case managers, and internal departments to identify patients who need financial assistance or coverage.
• Act as an advocate for patients by communicating with government agencies , charity organizations, and other stakeholders to expedite application approvals and secure financial aid.
• Regulatory Compliance & Program Updates
• Stay informed on program changes related to Medicaid, Medicare, and other government or charitable coverage options, providing up-to-date information to patients and colleagues.
• Educate patients about the appeals process if applications are denied, assisting with reapplications or alternative options when necessary.
• Customer Service & Follow-Up
• Uphold a patient-focused , compassionate approach, ensuring all interactions prioritize dignity and respect.
• Proactively follow up on application statuses, troubleshooting any delays or issues that may impede access to care.

• Education
• High school diploma or equivalent required;
  Bachelor’s degree in a related field (e.g., Social Work, Healthcare Administration) preferred.
• Experience
• 2+ years in a healthcare, social services, or patient advocacy role, with experience in Medicaid and Medicare assistance strongly desired.
• Familiarity with government assistance programs and the ability to navigate complex eligibility criteria.
• Excellent Communication :
  Ability to explain intricate processes to patients and families empathetically.
• Organizational Skills :
  Strong attention to detail for managing multiple applications and deadlines.
• Compassion & Patience :
  Commitment to helping underserved populations.
• Problem-Solving :
  Resourcefulness in resolving obstacles related to coverage and financial aid.

• Competitive Salary :
  Based on experience and qualifications.
• Health, Dental, and Vision Insurance
• 401(k) with Company Matching
• Paid Time Off (PTO), Holidays, and Sick Leave
• Flexible Spending Account, Life Insurance, and Employee Assistance Program
• Opportunities for Professional Growth and Development
• On-Site Role :
  Located in Greenfield, IN , offering direct collaboration with colleagues and the community.

• Monday to Friday, standard 8-hour shifts (daytime hours).
• On-site attendance may be required to support face-to-face patient interactions and effective collaboration with the care team.

• Healthcare Setting :
  Work is performed on-site in a clinic or hospital environment, requiring frequent interaction with patients, staff, and external agencies.
• Moderate Noise Level :
  Typical of a busy healthcare or office setting.
• Physical Requirements :
• Ability to sit, stand, and walk for extended periods.
• Manual dexterity for computer tasks and document handling.
• Reasonable accommodations will be provided to enable individuals with disabilities to perform essential functions.

If you’re committed to making a tangible difference in the lives of patients by helping them secure the financial assistance they need, we invite you to apply for the Eligibility Specialist – Patient Assistance Programs position at Healthcare Claims Management (HCM) . Take this opportunity to be a vital part of our mission to improve access to care for underserved populations.