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REMOTE - Patient Benefits Analyst - FT Days

REMOTE - Patient Benefits Analyst - FT Days

MercySpringfield, MO, US
5 days ago
Job type
  • Full-time
  • Remote
Job description

Patient Benefits Analyst

Position : Remote

Location : Must live in MO, IL, AR, or OK

Dept : Medicaid Eligibility

Shift : FT Days - 40 / hours per week - 8 : 00am - 5 : 00pm

Overview : Serves as an analyst for Mercy Receivables system development, re-engineering, or system enhancement projects. Negotiates ad hoc agreements with third party payers. Maintains databases, spreadsheets, computer and paper files related to interfaced software packages. Responsible for routine reporting and pro-active analytical support relating to the systems. Responsible for ensuring that systems are designed to obtain optimum reimbursement for Accounts Receivable, including building / maintaining system tables. Works effectively with Patient Accounting, Information Services, Medical Records, Admitting, Nursing, Fiscal Services, Unity Health Network, third party payors, vendors, and other external customers to bring about problem resolution in a professional manner. Responsible for development of user training manuals. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. The department analyst will be a central contributor to our team, leading Robotic Process Automation (RPA) development and managing updates to RPA in production. These efforts have already transformed our workflows, reduced manual tasks, and boosted efficiency across the department. But the impact goes far beyond automation. This analyst will :

  • Support screening, application processing, and pending inventory management across the three major states we serve.
  • Develop and analyze MEP KPI reports to identify trends and guide improvements.
  • Collaborate with team members daily on audits, reports, and strategic planning.
  • Serve as a liaison with Mercy and state agencies to resolve Medicaid-related issues.
  • Conduct re-training and in-service sessions to reinforce Medicaid screening and pending application management skills.
  • Develop and deliver training programs for the MEP department and assist with Community Health Worker (CHW) training.

Qualifications :

Education : High school diploma required.

Experience : Minimum of three (3) years of Medicaid Eligibility experience.

Other skills & knowledge : Interpersonal and organizational skills required. Must possess superior oral and written communication skills, and analytical skills. Must be capable of handling a large volume of transactions on a daily basis and considerable CRT use. May need to be on-call and / or report to work during unusual hours for system testing or troubleshooting.

Preferred Qualifications :

Education : Bachelor degree in business / information system preferred.

Experience : Minimum of five (5) years of relative experience necessary.

Other skills & knowledge : Knowledge of personal computer and software desired.

We Offer Great Benefits : Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We're bringing to life a healing ministry through compassionate care. At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply. EEO / AA / Minorities / Females / Disabled / Veterans

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Benefit Analyst • Springfield, MO, US

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