Patient Financial Services Representative I

SSM Health; United States; Remote; USD 38,000 - 52,000; Full time

Job summary

SSM Health is seeking a Remote Patient Financial Counselor to determine patient financial responsibility and provide counseling.

Responsibilities include explaining insurance benefits, guiding patients through financial assistance programs, and verifying coverage. This role supports a MO-remote policy with cross-state eligibility; candidates must reside in MO, IL, OK, or WI.

Qualifications

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

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

call center operations

patient pre-registration processes

strong computer proficiency

excellent communication skills

Education

High School diploma/GED or 10 years of work experience

Tools

Epic

Job description

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

MO-REMOTE

Worker Type

Regular

Job Highlights

Qualifications

Experience with Epic, call center operations, and patient pre-registration processes; strong computer proficiency; and excellent communication skills.

Schedule

Monday-Friday 8am - 4:30pm

Location

Remote - reside in MO, IL, OK, or WI

At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people’s lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

Remote work

This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.

*Candidates must reside in MO, IL, OK, or WI

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

8700220033 HB Pre Registration

Work Shift

Day Shift (United States of America)

Scheduled Weekly Hours

40

Benefits

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay(fees may apply)before payday.

• Upfront Tuition Coverage :we provide upfront tuition coverage through FlexPath Funded for eligible team members.

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.