Inpatient Eligibility Specialist

Position Details

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

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

• Preferred Knowledge, Skills And Abilities:

  • Understanding of Revenue Cycle functions including billing, payments, denials, authorizations, and benefit verifications

  • Knowledge of health insurance requirements

  • Knowledge of medical terminology

  • 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?

• 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

• Opportunity to grow and contribute to the future of healthcare through innovation, technology, and compassion

• Team members can join a caring, collaborative environment where their voice matters

• Attracting top talent through competitive compensation and comprehensive benefits package