Patient Financial Services Representative

🔥 12 hours ago

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SSM Health

10,000+ employees

⚕️ Healthcare Insurance

💰 Debt Financing on 2019-11

Healthcare Insurance

SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.

📋 Description

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

🎯 Requirements

• Experience with insurance portals, Epic, proficient computer skills, and 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.

🏖️ Benefits

• 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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