Inpatient Eligibility Specialist

Welcome to Mercy, where we strive to provide comprehensive and compassionate care to all of our patients. We are currently seeking a dedicated and detail-oriented Inpatient Eligibility Specialist to join our team. In this role, you will play a vital part in ensuring that our patients receive the necessary financial assistance and resources for their inpatient care. If you have a passion for helping others and possess strong organizational skills, we encourage you to apply. As an Inpatient Eligibility Specialist, you will be responsible for verifying insurance coverage, identifying potential eligibility for financial assistance programs, and assisting patients with the application process. The ideal candidate will have a thorough understanding of insurance policies and eligibility requirements, as well as excellent communication and problem-solving skills. A minimum of two years of experience in a healthcare or insurance setting is required for this role. If you are looking for a fulfilling career where you can make a meaningful impact on the lives of others, then we invite you to join our team at Mercy. Apply now to become a part of our mission to provide high-quality healthcare to those in need.

1. Verify insurance coverage for inpatient services and communicate with insurance companies as needed.
2. Identify potential eligibility for financial assistance programs and guide patients through the application process.
3. Conduct thorough and accurate reviews of patient records to determine eligibility for financial assistance.
4. Maintain up-to-date knowledge of insurance policies and eligibility requirements to ensure accurate and timely assistance for patients.
5. Collaborate with other healthcare professionals, including social workers and financial counselors, to ensure comprehensive and coordinated care for patients.
6. Provide excellent customer service to patients and their families, addressing any questions or concerns regarding insurance coverage and financial assistance.
7. Maintain accurate and organized documentation of patient information and financial assistance processes.
8. Stay informed about changes in insurance policies and eligibility requirements, and communicate any updates or changes to the appropriate team members.
9. Proactively identify areas for improvement in the financial assistance process and work with the team to implement solutions.
10. Adhere to all confidentiality and privacy policies when handling sensitive patient information.
11. Attend trainings and educational opportunities to continuously develop knowledge and skills in the field of insurance and financial assistance.
12. Collaborate with billing and coding teams to ensure accurate and timely submission of insurance claims.
13. Maintain a professional and compassionate demeanor at all times, reflecting the values and mission of Mercy.
14. Participate in team meetings and discussions to share insights and ideas for improving the overall patient experience.
15. Continuously monitor and track patient eligibility and financial assistance data to identify trends and make recommendations for improvement.

According to JobzMall, the average salary range for a Inpatient Eligibility Specialist in St. Louis, MO, USA is $38,000 - $50,000 per year. This salary can vary depending on factors such as experience, education, and employer.

Mercy Health Foundation is a nonprofit organization dependent on the generosity of caring individuals to support Mercy’s mission of delivering compassionate care and exceptional service to the St. Louis community.