Patient Financial Services Representative I

1 week ago


St Louis, Missouri, United States SSM Health Full time

Job Summary:

As a Patient Financial Services Representative at SSM Health, you will play a critical role in determining the patient financial component for patient services. Your expertise will be essential in estimating, communicating, and collecting patient financial responsibility, while providing exceptional patient financial counseling.

Key Responsibilities:

  • Assist patients in understanding their insurance benefits, including co-payment, deductible, and co-insurance responsibility.
  • Educate patients regarding financial assistance programs when appropriate.
  • Obtain patient demographic information and request financial responsibility from the patient.
  • Determine patient qualification for coverage by third-party payer and inform financial counselor, patient, or family member of status.
  • Verify all commercial insurance coverage, workers' compensation insurance, TPL insurance, and state and government programs.
  • Document and resolve patient concerns or inquiries received via telephone, mail, or walk-in within an established time frame.
  • Validate Master Patient Index according to departmental policy.
  • Interpret physician orders.
  • Perform other duties as assigned.

Requirements:

  • High School diploma/GED or 10 years of work experience.
  • No experience required.

Physical Requirements:

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching, and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting, and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

Benefits:

  • SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

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