Patient Financial Services Representative II

It's more than a career, it's a calling.

WI-St. Agnes Hospital

Worker Type:

Regular

Job Highlights:

• Department:  Behavioral Health Outpatient
• Schedule: Full Time, Day Shift,  40 hours/week -  Monday through Friday, no nights, weekends or holidays. Hours Monday-Thursday 7 am - 6 pm and Friday 7:30 am-4pm- shifts are 8 hours and may vary.
• Starting Pay: $18.00/hour (+)  (Offers are based on years of experience and equity for this role.)
• Sign on bonus available for qualifying external candidates
• Location: St Agnes Hospital, 430 E Division St., Fond du Lac, Wi 54935

Job Summary:

Responsible for determining the patient financial component for patient services. Estimates, communicates and collects the patient financial responsibility and provides patient financial counseling.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Assists patients in understanding their insurance benefits including their co-payment, deductible and co-insurance responsibility.
• Educates patient regarding financial assistance programs when appropriate.
• Obtains patient demographic information and requests financial responsibility from the patient.
• Determines patient qualification for coverage by third-party payer and informs financial counselor, patient or family member of status.
• Verifies all commercial insurance coverage, workers compensation insurance, TPL insurance and state and government programs.
• Documents and resolves patient concerns or inquiries that are received via telephone, mail or walk-in within an established time frame.
• Validates Master Patient Index according to departmental policy.
• Interprets physician orders.
• Identifies process improvement opportunities and participates in improvement plans.
• Works on special projects as needed.
• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

EXPERIENCE

• One year experience

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.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• None

Department:

8455000038 BEHAV HEALTH OP ADMIN

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender iden