Inpatient Eligibility Specialist

Mercy; Ada (OK); On-site; USD 30,000 - 45,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Tuition support

Matched retirement plans

Job summary

Mercy – OKC is seeking an Inpatient Eligibility Specialist to evaluate uninsured/under-insured patients for Medicaid eligibility and Financial Assistance within a hospital setting. The role requires assisting patients in- room with application processes and clearly communicating required documents and next steps.

The position is full-time and on-site in Oklahoma City. Candidates should have a High School Diploma or GED and 1–2 years of relevant healthcare or case management experience; strong

Qualifications

• High School Diploma or GED required.
• 1-2 years of experience in healthcare, social work, or case management with patient interaction regarding financial concerns.
• Experience with self-pay, underinsured, or compromised populations; face-to-face customer service.
• Ability to explain complex state Medicaid qualifications and communicate patient benefits clearly.

Responsibilities

• Interview uninsured/under-insured patients to determine Medicaid eligibility and financial assistance.
• Assist patients in hospital rooms with Medicaid and Financial Assistance applications.
• Explain the eligibility process and benefits of Medicaid to patients.
• Obtain signatures on State forms and communicate additional documents needed for submission.

Skills

Patient communication

Customer service

Medicaid knowledge

Health insurance

Revenue cycle basics

Education

HS Diploma or GED

Job description

Find your calling at Mercy!

Interviews uninsured/under-insured patients in a hospital setting to determine eligibility for State Medicaid benefits and Financial Assistance. Requires assisting patients in hospital rooms with the application processes to facilitate accurate and appropriate application submission. Requires building a positive relationship with the patient and communication of the eligibility process and the benefits of having Medicaid coverage. Oversight of signatures on State forms and clear communication regarding the additional documents the patient will need to provide to complete the application is central to this role. This position is in the facility and is not remote.

Position Details

Inpatient Eligibility Specialist

Full Time - On Site

Mercy - OKC

Employment Qualifications

Minimum Education: High School Diploma or GED

Minimum years and type of experience: 1-2 years of experience in the healthcare industry, social work, or case management environment, interacting with patients regarding financial concerns, working with self-pay, underinsured, or a compromised population in a face-to-face customer service capacity proactively explaining complicated programs.

Other Knowledge, Skills And Abilities Preferred: Understanding of Revenue Cycle functions including billing, payments, denials, authorizations, and benefit verifications. Knowledge of health insurance requirements. Knowledge of medical terminology. Patient access experience with managed care/insurance knowledge. Ability to comprehend various state Medicaid plan qualifications and communicate patient benefits clearly and effectively to those most likely to benefit. Good math skills and ability to identify best program for an applicant out of those available. Complete written applications with patients to submit to state agencies and ensure the supporting documents will be provided timely.

Customer service ability, strong face to face communication skills, background working with customers or patients on document completion and applications, knowledge of medical expenses and associated bills, knowledge of patient insurance, ability to multitask, ability to learn complex state requirements for programs and explain to patients, bias for action, patient/consumer-focused, entrepreneurial and commitment to excellence and service.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

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