Inpatient Eligibility Specialist - Hybrid - St. Louis
Southeast Hospital
Must live near one of Mercy locations in Missouri Southeast, Springfield, St. Louis, Mercy South, Jefferson, or Washington. Job Description This is a hybrid position. The candidate will be required to visit a Mercy facility approximately one day per week to pick up mail, fax documents, meet with patients to obtain signatures, and collect or deliver necessary documentation. The role involves interviewing uninsured/under‑insured patients in a hospital setting to determine eligibility for State Medicaid benefits and Financial Assistance, assisting patients in hospital rooms with application processes, building positive patient relationships, and overseeing signatures on State forms. The position is in the facility and is not remote. Responsibilities Interview uninsured/under‑insured patients in a hospital setting to determine eligibility for State Medicaid benefits and Financial Assistance. Assist patients in hospital rooms with application processes to facilitate accurate and appropriate application submission. Build a positive relationship with patients and communicate the eligibility process and benefits of having Medicaid coverage. Oversee signatures on State forms and communicate additional documents required to complete the application. Ensure the work is performed in person at the facility, not remotely. Qualifications Minimum Education: High School Diploma or GED. Minimum 1–2 years of experience in the healthcare industry, social work, or case management environment, interacting with patients regarding financial concerns. Experience working with self‑pay, underinsured, or a compromised population in a face‑to‑face customer service capacity, proactively explaining complicated programs. Preferred Knowledge, Skills, and Abilities Understanding of Revenue Cycle functions including billing, payments, denials, authorizations, and benefit verifications. Knowledge of health insurance requirements and medical terminology. Patient access experience with managed care/insurance knowledge. Ability to comprehend and communicate state Medicaid plan qualifications and patient benefits. Good math skills and ability to identify the best program for an applicant. Complete written applications with patients and ensure supporting documents are provided timely. Customer service ability, strong face‑to‑face communication skills, multitasking, bias for action, consumer‑focused, entrepreneurial, and commitment to excellence and service. Benefits 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. #J-18808-Ljbffr Southeast Hospital
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