Inpatient Eligibility Specialist-Remote-STL

Mercy; Chesterfield (MO); Remote; USD 22,000 - 33,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Tuition support

Retirement plan matching

Job summary

Mercy in the United States is seeking an Inpatient Eligibility Specialist to assist uninsured and under-insured patients. This remote role guides patients through Medicaid and financial assistance applications by phone, explains eligibility options, and documents steps for successful submission.

Ideal candidates have 1–2 years in healthcare or related fields, with strong communication, math, and customer service skills. Mercy offers comprehensive benefits and supports patient access services.

Qualifications

• High School Diploma or GED required for this role.
• 1-2 years of experience in healthcare, social work, or case management handling patient financial concerns.
• Experience with self-pay or underinsured populations and proactive program explanations.
• Ability to clearly explain complex state programs to patients and document interactions.

Responsibilities

• Guide patients through Medicaid and Financial Assistance applications by phone.
• Educate patients on eligibility options and required documentation.
• Obtain complete information and ensure accurate submission of applications.
• Maintain timely follow-up and accurate system documentation to support approvals.

Skills

Customer service

Communication

Medical terminology

State Medicaid plans

Revenue cycle

Education

High School Diploma or GED

Job description

Find your calling at Mercy!

Provides virtual support to uninsured and under-insured patients to determine eligibility for Medicaid and Financial Assistance programs. This role operates in a remote call center environment and is responsible for guiding patients through the application process by phone.

Builds rapport with patients through clear, compassionate, and professional communication while educating them on eligibility options and the benefits of coverage. Assists patients in completing applications accurately, ensures all required information is obtained, and provides clear instructions on documentation needed to support submission.

Maintains accountability for timely follow-up, complete application processing, and accurate system documentation to support successful approvals.

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.

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