Patient Financial Services Representative I

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

MO-REMOTE

Worker Type:

Regular

Job Highlights:

Qualifications: Experience with Epic, HB (Hospital Billing) and PB (Professional Billing), proficient computer skills, and excellent communication skills.

Schedule: Monday-Friday 6am - 2:30pm or 7am - 3:30pm

Location: Remote - reside in MO, IL, OK, or WI

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.

Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. 

*Candidates must reside in MO, IL, OK, or WI

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.
• Performs other duties as assigned.

EDUCATION

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

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.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• None

Department:

8700210033 Patient Financial Escalations

Work Shift:

Day Shift (United States of America)

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. 

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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.