Inpatient Eligibility Specialist/FT Onsite - Mercy STL

Mercy; St. Louis (MO); Presencial; USD 36.000 - 54.000; Jornada completa

Descripción de la vacante

Mercy in Missouri is seeking a hospital-based patient access specialist who interviews uninsured and under-insured patients to determine Medicaid eligibility and access to Financial Assistance. The role involves guiding patients through the application process in their hospital rooms, building rapport, and ensuring accurate submission of state forms with the necessary documents.

You will verify signatures, communicate program requirements, and help patients understand benefits.

Formación

• High school diploma or GED required.
• 1–2 years of healthcare/social work or case management experience.
• Able to explain Medicaid/financial assistance programs clearly to patients.

Responsabilidades

• Interview uninsured/under-insured patients in hospital settings to determine Medicaid eligibility.
• Assist patients with Medicaid and Financial Assistance applications to ensure accurate submission.
• Educate patients about required documents and timelines, securing signatures and timely follow-ups.
• Build positive relationships with patients through clear, compassionate communication about benefits.

Conocimientos

Customer service

Face-to-face communication

Clear explanation of programs

Attention to detail

Relationship building

Educación

High School Diploma or GED

Descripción del empleo

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:

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.