Inpatient Eligibility Specialist - Onsite - Mercy Hospital NW Arkansas

Mercy Co; Rogers (AR); In loco; USD 35.000 - 55.000; Tempo pieno

Descrizione del lavoro

Mercy in Rogers, AR is seeking a patient eligibility navigator to interview uninsured or under-insured patients in hospital rooms, determine Medicaid eligibility, and assist with the application process to ensure accurate submission.

The role requires building positive patient relationships, explaining Medicaid benefits, and managing signatures and supporting documents for state forms. This is an in-hospital, non-remote position.

Competenze

• 1–2 years in healthcare, social work, or case management, with patient interaction about finances.
• Strong customer service and face-to-face communication skills.
• Understanding of revenue cycle: billing, payments, denials, authorizations, benefits verifications.
• Knowledge of state Medicaid plan qualifications and patient benefits communication.

Mansioni

• Interview patients to determine Medicaid eligibility.
• Assist patients with state Medicaid applications in hospital rooms.
• Explain required documents and gather signatures on state forms.
• Maintain clear communication about benefits and program requirements.

Conoscenze

Customer service

Communication skills

Documentation skills

Multitasking

Formazione

High School Diploma or GED

Descrizione del lavoro

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.