Patient Financial Services Representative II at SSM Health

, Missouri, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jun, 26

Salary

0.0

Posted On

29 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Benefits Understanding, Financial Counseling, Demographic Information Collection, Third-Party Payer Qualification, Insurance Verification, Workers Compensation Verification, TPL Insurance Verification, State Program Verification, Government Program Verification, Inquiry Resolution, Master Patient Index Validation, Physician Order Interpretation, Process Improvement Identification, Data Entry, Oral Communication

Industry

Hospitals and Health Care

Description

It's more than a career, it's a calling. MO-SSM Health St. Joseph Hospital - Lake Saint Louis Worker Type: Regular 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 Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8701250033 PAS - St. Joseph Hospital West Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits 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 identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Responsibilities

The representative is responsible for determining the patient's financial responsibility for services, which includes estimating, communicating, and collecting payments, as well as providing financial counseling. Key duties involve assisting patients in understanding their insurance benefits, verifying various types of coverage, and resolving patient financial concerns received through multiple channels.