Patient Benefits Analyst - Full-time / Part-time

Overview

We re a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

We don t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart.

At Mercy, you ll feel our supportive community every step of your day, especially the tough ones. We re a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.

Responsibilities and Qualifications

Serves as an analyst for Mercy Receivables system development, re-engineering, or system enhancement projects. 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. Works effectively with Patient Accounting, Information Services, Medical Records, Admitting, Nursing, Fiscal Services, 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.

• Review vendor invoices and verify they are correct. Work with vendors to correct invoices when need be.
• Investigate and Resolve issues with problem cases at local and state level as needed.
• Travel to various facilities as well as various local, state and federal offices as required for resolving problems with cases.
• Acts as a liaison between state Medicaid offices and Social Security Administration and Mercy MEP Department relative to discrepancies in policy.
• Responsible for developing training program and materials for the Social Security Disability Program for the MEP department.
• Must have an extensive working knowledge of Medicaid regulations, policy and procedure in multiple states.
• Research state and federal regulation changes related to Social Security and Medicaid programs for multiple states and provide updates to Co-workers.
• Develope and Maintain the training program and the materials for the Medicaid programs for states of Arkansas, Illinois, Kansas, Missouri and Oklahoma for new coworkers.
• Responsible for conducting new co-worker training Medicaid Eligibility and Social Security Disability sessions for all new hires for the MEP department.
• Perform re-training and in-service sessions to reinforce the Medicaid skills needed to screen patients and manage the Pending Medicaid Applications.
• Complete various audits relative to MEP KPI reports to determine trends and issues.
• Assess potential untimely filing report and distribute to MEP staff to ensure that all accounts are filed in a timely manner.
• Work Medicaid cases in pending routes when co-worker changes occur.
• Assist the Director of MEP with various audits and reports as required.

Qualifications:

Because you re committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That s why you ll bring to your role the right set of qualifications:

MINIMUM QUALIFICATIONS:

Education: High school diploma required.

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

Other skills & knowledge: (skills, knowledge, abilities)

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.