Inpatient Eligibility Specialist-Remote-STL

Mercy Co; United States; Remote; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Tuition support

Retirement plans with company match

Job summary

Mercy is seeking a patient-focused specialist to provide remote call center support, guiding uninsured and under-insured patients through Medicaid and Financial Assistance applications by phone. You will build rapport, explain eligibility options, and ensure accurate documentation and timely follow-up throughout the process.

The role requires 1–2 years of healthcare or related experience, strong communication skills, and the ability to explain complex programs clearly to patients.

Qualifications

• Minimum 1–2 years of experience in healthcare, social work, or case management interacting with patients regarding financial concerns.
• Experience working with self-pay, underinsured, or a compromised population in a face-to-face customer service capacity while explaining complex programs.

Responsibilities

• Guide patients through the Medicaid and Financial Assistance application process by phone.
• Assist patients in completing applications accurately and obtaining all required information.
• Ensure timely follow-up, complete application processing, and accurate system documentation to support approvals.

Skills

Patient communication

Healthcare experience

Financial assistance knowledge

Phone support

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.

• medical, dental, and vision coverage
• paid time off
• tuition support
• 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.

Transforming the Health of Our Communities

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.

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