Patient Financial Services Representative II

SSM Health; Bridgeton (MO); On-site; USD 42,000 - 54,000; Full time

Job summary

SSM Health DePaul Hospital - St. Louis is seeking a Patient Financial Counselor responsible for determining the patient financial component for services, communicating estimates and collecting patient financial responsibility.

The role requires 1+ year of direct experience, familiarity with EHR and health insurance, and strong customer service and computer skills. The position follows a 40-hour weekly schedule with a day shift in St. Louis, MO and may float to other locations as needed.

Qualifications

• EHR experience and health insurance familiarity required.
• Minimum 1 year of direct experience.
• High School diploma or 10 years of work experience.

Responsibilities

• Explains insurance benefits including co-payments, deductibles and coinsurance responsibility.
• Provides patient financial counseling and estimates financial responsibility.
• Verifies 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.

Skills

EHR experience

Health insurance experience

Customer service

Computer skills

Education

High School diploma/GED or 10 years of work experience

Job description

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

MO-SSM Health DePaul Hospital - St. Louis

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.

Qualifications: Ideal candidate has EHR and health insurance experience and excellent customer service and computer skills. 1+ years of direct experience is required.

Schedule: Variable day schedule between 7am - 6pm

Location: SSM Health DePaul Hospital - St. Louis, MO *will float to other locations as needed

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.

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

8701140033 PAS - DePaul Health Center

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. Read our notice of non-discrimination