Eligibility Screening Services

Eligibility Screening Services (ESS), based in Franklin, Tennessee, helps healthcare providers recover revenue by connecting patients with government and assistance programs that can cover outstanding medical bills. For hospitals, clinics, and physician practices looking to reduce uncompensated care, ESS handles the time-intensive work of identifying applicable funding sources and guiding patients through the application process from start to finish. The core offering is eligibility screening and benefits enrollment. The ESS team researches federal, state, and county programs that match each patient's circumstances, then assists directly with the application paperwork. Their coverage spans Medicare, multiple Medicaid categories (Children's Medicaid, Pregnancy-related Medicaid, Family Medicaid, Emergency Medicaid, and programs for the blind, aged, and disabled), the Children's Health Insurance Program (CHIP), the Health Insurance Marketplace with accompanying premium tax credits, Social Security Disability, Veterans Affairs assistance, Crime Victim Services, and Indian Health Service. At the county level, they work with local indigent funds and community organizations. When funding is secured, ESS also notifies other treating physicians so those balances may be covered under the same program. The clients ESS serves are primarily healthcare organizations, including hospitals and medical practices carrying patient accounts with uncertain coverage. These providers outsource the eligibility and enrollment workflow to ESS rather than staffing it in-house, freeing clinical and administrative teams to focus on care delivery while ESS pursues every available funding avenue on the patient's behalf. This back-office medical billing BPO model keeps overhead low for providers while improving the likelihood that accounts resolve with actual payment. Operationally, ESS runs extended hours to reach patients when they are most available. The team takes calls Monday through Thursday from 8 a.m. To 8 p.m. CST and on Fridays from 8 a.m. To 5 p.m. CST, via a toll-free line. Bilingual service in Spanish is available, which expands access for patients in diverse communities. Healthcare organizations interested in outsourcing their patient eligibility and program enrollment process can reach Eligibility Screening Services at 1-800-353-1380 or through their website to discuss how the team can support their patient financial services workflow.