Patient Financial Services Representative

SSM Health; Bridgeton (MO); On-site; USD 40,000 - 50,000; Full time

Job summary

SSM Health DePaul Hospital - St. Louis in Bridgeton, MO seeks a Regular, full-time Patient Financial Counselor for a day shift (Mon-Fri, 7:30 AM - 4:00 PM). You will determine patient financial responsibility for services and provide counseling to patients on costs.

Role includes educating patients about benefits, helping with financial assistance programs, collecting information, and coordinating with financial counselors as needed. No prior experience required; EPIC knowledge preferred.

Qualifications

• Requires high school diploma or GED or 10 years of work experience.
• No prior experience required.
• Knowledge of insurance benefits and patient financial counseling preferred.

Responsibilities

• Assists patients in understanding insurance benefits including their co-payment, deductible and coinsurance responsibility.
• Educates patients 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 applicable insurance coverage and government programs.
• Documents and resolves patient concerns or inquiries received via telephone, mail or walk-in.

Skills

Customer service

EPIC knowledge

Education

High School diploma/GED

Tools

EPIC

Job description

It's more than a career, it's a calling.

MO-SSM Health DePaul Hospital - St. Louis

Worker Type:

Regular

Job Highlights:

This is a full-time, day-shift position working Monday-Friday from 7"30AM-4:00PM. Preferred knowledge of EPIC and customer service skills experience.

Job Summary:

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

Job Responsibilities and Requirements:

Primary 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.

EDUCATION

• High School diploma/GED or 10 years of work experience

Experience

• No experience required

Physical Requirements

• 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.

Required Professional License And/Or Certifications

• None

Department:

4403010128 DePaul Surgery Ctr

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.