Inpatient Eligibility Specialist

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Mercy

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1886

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

💰 Grant on 2025-05

Healthcare • Non-profit • Wellness

Mercy is a large, community-focused nonprofit health system that operates hospitals, clinics, urgent and convenient care centers, and telehealth services. It offers patient-facing services including appointment scheduling, billing and payment options, provider directories, patient portals, multilingual support, community health education, and care coordination, with a mission-driven focus on improving health and wellness across the communities it serves.

📋 Description

• Provide virtual support to uninsured and under-insured patients to determine eligibility for Medicaid and Financial Assistance programs • Guide patients through the application process by phone in a remote call center environment • Build rapport through clear, compassionate, and professional communication • Educate patients on eligibility options and coverage benefits • Assist patients in completing applications accurately • Ensure all required information is obtained • Provide clear instructions on documentation needed to support submissions • Follow up timely and maintain complete application processing • Maintain accurate system documentation to support successful approvals • Complete written applications with patients for submission to state agencies • Ensure supporting documents are provided timely

🎯 Requirements

• High School Diploma or GED • 1-2 years of experience in the healthcare industry, social work, or case management environment • Experience interacting with patients regarding financial concerns • Experience working with self-pay, underinsured, or compromised populations in a face-to-face customer service capacity • Ability to proactively explain complicated programs • 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 • Good math skills and ability to identify the best program for an applicant • Ability to complete written applications with patients and ensure supporting documents are provided timely • Strong face-to-face communication and customer service skills • Experience 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 program requirements and explain them to patients • Patient/consumer-focused approach • Commitment to excellence and service

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Tuition support • Matched retirement plans for team members working 32+ hours per pay period • Caring, collaborative team environment • Opportunities to shape the future of healthcare through innovation, technology, and compassion

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