Job Summary: Under general supervision, the Eligibility Specialist I (ES I) performs a variety of hospital admitting, discharge, registration and financial screening functions, with the objective of determining eligibility for medical coverage under the terms of various private and public health care and financial services assistance programs. This may include programs such as Medicare, Medi-Cal, Breast and Cervical Cancer diagnostic and treatment programs, Managed Care Plans, Medi-Cal Managed Care Programs, private insurance and numerous other health plans and programs; and other related duties as required. ES I are located in the Patient Business Services Department at Highland Hospital Emergency, Admitting and Outpatient Registration Departments, Fairmont Hospital Outpatient Registration and Admitting Department and in the Ambulatory Care Services Departments at the freestanding Clinics. Staff may be required to work at alternate locations as necessary. This classification series is flexibly staffed wherein a new employee is hired as an ES I and after 12 months of satisfactory performance an evaluation of the full scope of duties is upgraded to an ES II. Performs related duties as required.
