Onsite Springfield – Inpatient Eligibility Specialist

Mercy Hospital St. Louis Critical Care Medicine Fellowship; Springfield (MO); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Tuition support

Matched retirement plans

Job summary

Mercy Hospital St. Louis seeks a dedicated patient financial counselor to interview patients, determine Medicaid eligibility, and guide them through the application process in a hospital setting.

You will assist with submitting applications, communicate the benefits clearly, and ensure all required documents are collected. This on-site role emphasizes compassionate patient interaction and accurate form completion.

Qualifications

• Minimum education: High School Diploma or GED.
• 1-2 years of experience in healthcare, social work, or case management, interacting with patients about financial concerns.
• Ability to explain complex state Medicaid programs clearly to patients.

Responsibilities

• Interview uninsured/under-insured patients to determine Medicaid eligibility.
• Assist patients in hospital rooms with Medicaid/Financial Assistance applications.
• Communicate benefits and required documents to patients to ensure timely submissions.
• Oversee signatures on State forms and obtain needed documentation from patients.

Skills

Customer service

In-person communication

Multitasking

Math skills

Medical terminology

Education

High School Diploma or GED

Job description

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

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.