Patient Financial Services Representative

SSM Health; Saint Charles (MO); On-site; USD 42,000 - 64,000; Full time

Job summary

SSM Health St. Charles is seeking a patient financial counselor in the Vascular Lab to determine patient financial components for services and to communicate and collect patients' financial obligations. This role supports a 40-hour work week, Monday–Friday, in a day shift.

The incumbent will educate patients on benefits and assist with navigating financial assistance programs while coordinating with the financial counselor and care team to ensure accurate billing and compassionate guidance.

Qualifications

• Assists patients in understanding their insurance benefits including co-payments, deductibles and co-insurance responsibility.
• Educates patients about financial assistance programs when appropriate.
• Verifies coverage and determines patient qualification for coverage by third-party payer.

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 received via telephone, mail or walk-in within an established time frame.
• Interprets physician orders.
• Identifies process improvement opportunities and participates in improvement plans.
• Works on special projects as needed.
• Performs other duties as assigned.

Skills

Financial counseling

Insurance benefits

Patient communication

Education

High School diploma / GED

Job description

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

MO-SSM Health St. Joseph Hospital - St. Charles

Worker Type

Regular

Job Highlights

Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact.

In this role, you play a pivotal role in guiding patients through the financial aspects of their healthcare journey by assessing anticipated costs, providing clear and compassionate financial guidance, and helping patients understand and manage their financial responsibilities with confidence and care.

Department: Vascular Lab

Schedule: Monday-Friday, 8:00 - 4: 30 PM

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.
• Identifies process improvement opportunities and participates in improvement plans.
• Works on special projects as needed.
• Performs other duties as assigned.

EDUCATION

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

Experience

• One year experience

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

3012000002 Vascular Lab

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.