Patient Financial Services Representative I

SSM Health Care • Saint Louis, MO

405d

About The Position

The Patient Financial Services Representative I is responsible for determining the financial responsibilities of patients for services rendered. This role involves estimating, communicating, and collecting patient financial responsibilities while providing financial counseling to patients. The representative assists patients in understanding their insurance benefits and educates them about financial assistance programs when necessary.

Requirements

• High School diploma/GED or 10 years of work experience.
• No experience required.

Responsibilities

• Assists patients in understanding their insurance benefits including co-payment, deductible, and co-insurance responsibility.
• Educates patients 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 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.

Benefits

• Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: instant access to earned, unpaid base pay before payday through DailyPay (fees may apply).
• Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees