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 communities. The Patient Financial Services Representative I determines, communicates, and collects patient financial responsibilities while counseling patients about insurance benefits and financial assistance. The role also verifies coverage, resolves patient inquiries, validates patient records, and interprets physician orders.
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
- Excellent customer service and computer skills
- High School diploma/GED or 10 years of work experience
- Ideal candidate has EHR, health insurance, and payor portal experience
Benefits
- This position may be eligible for remote work in accordance with SSM policies.
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