Note: The job is a remote job and is open to candidates in USA. SSM Health is hiring a Patient Financial Services Representative I to determine, communicate, and collect patients’ financial responsibilities for care. The role includes helping patients understand insurance benefits, verifying coverage, providing financial counseling, and resolving patient inquiries.
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
Skills
- Experience with Epic, HB (Hospital Billing) and PB (Professional Billing), proficient computer skills, and excellent communication skills
- Candidates must reside in MO, IL, OK, or WI
- High School diploma/GED or 10 years of work experience
- No experience required
Benefits
- This position may be eligible for remote work in accordance with SSM policies; remote work is not permissible in some states, and candidates must reside in MO, IL, OK, or WI.
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