Patient Financial Services Representative
SSM Health
Join A Team Where Your Work Matters
At SSM Health, you'll be empowered to grow, supported to thrive, and inspired to make a lasting impact.
In this role, you play a pivotal role in guiding patients through the financial aspects of their healthcare journey by assessing anticipated costs, providing clear and compassionate financial guidance, and helping patients understand and manage their financial responsibilities with confidence and care.
Department: Vascular Lab
Schedule: Monday-Friday, 8:00 - 4:30 PM
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:
- 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
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