Patient Financial Services Representative I

SSM HealthMO-REMOTE, MO
Remote

About The Position

Responsible for determining the patient financial component for patient services. Estimates, communicates and collects the patient financial responsibility and provides patient financial counseling. SSM Health believes 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. 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.

Requirements

  • Experience with insurance portals
  • Epic experience
  • Proficient computer skills
  • Excellent customer service skills
  • Strong understanding of insurance processes, including Medicare and Medicaid replacement plans.
  • High School diploma/GED or 10 years of work experience

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.

Benefits

  • One week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
  • Instant access to earned, unpaid base pay before payday through DailyPay (fees may apply).
  • Upfront tuition coverage through FlexPath Funded for eligible team members.
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