Note: The job is a remote job and is open to candidates in USA. SSM Health is a healthcare organization dedicated to providing exceptional patient care and serving its communities. The Patient Financial Services Representative I determines and communicates patients’ financial responsibility, verifies insurance coverage, provides financial counseling, and resolves 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
- Qualifications**: Experience with Epic, call center operations, and patient pre-registration processes; strong computer proficiency; and excellent communication skills
- Location**: Remote - reside in MO, IL, OK, or WI
- *Candidates must reside in MO, IL, OK, or WI*
- * High School diploma/GED or 10 years of work experience
- * No experience required
- * 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
- * None
Benefits
- Eligible team members receive one week of paid parental leave for newborns or newly adopted children, pro-rated based on FTE.
- Eligible hourly team members can access their earned, unpaid base pay instantly before payday through DailyPay; fees may apply.
- Eligible team members receive upfront tuition coverage through FlexPath Funded.
- This position may be eligible for remote work in accordance with SSM policies; candidates must reside in Missouri, Illinois, Oklahoma, or Wisconsin.
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