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Patient Financial Services Representative II

SSM Health
St. Louis, United Statesfull_timeVerifiedPosted 19 Sept 2024

About the role

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

MO-SSM Health St. Mary's Hospital - St. Louis

Worker Type:

Regular

Job Highlights:

Great Opportunity!!!

Schedule: Monday-Friday, 8:00 AM to 5:00 PM.

At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

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 or equivalent


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.

Department:

4406000100 Pain Management

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

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Company

SSM Health

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