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Inpatient Eligibility Specialist
MercyInpatient Eligibility Specialist providing virtual support to uninsured and under-insured patients for Medicaid eligibility at Mercy. Engaging with patients through application guidance and ensuring timely processing.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient eligibility determination for Medicaid and Financial Assistance programs, with strong knowledge of health insurance requirements and medical terminology. Capable of providing compassionate support and clear communication to guide patients through complex application processes.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle FunctionsHealth Insurance KnowledgeMedical TerminologyPatient Access Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Application ProcessingBillingPaymentsDenialsAuthorizationsBenefit VerificationsMath Skills
Soft Skills
Compassionate CommunicationRapport BuildingClear Instructions
Industry Keywords
Healthcare IndustrySocial WorkCase ManagementFinancial Concerns
About the role
Key responsibilities & impact- Provides virtual support to uninsured and under-insured patients to determine eligibility for Medicaid and Financial Assistance programs
- Guides patients through the application process by phone
- Builds rapport with patients through clear, compassionate, and professional communication
- Assists patients in completing applications accurately
- Ensures all required information is obtained and provides clear instructions on documentation needed to support submission
- Maintains accountability for timely follow-up and complete application processing
Requirements
What you’ll need- 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
- 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
- Good math skills
- Ability to learn complex state requirements for programs
Benefits
Comp & perks- medical, dental, and vision coverage
- paid time off
- tuition support
- matched retirement plans for team members working 32+ hours per pay period