Patient Financial Services Representative II
SSM Health
**It's more than a career, it's a calling.**
MO-SSM Health Saint Louis University Hospital
**Worker Type:**
Regular
**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
**Work Shift:**
Day Shift (United States of America)
**Job Type:**
Employee
**Department:**
8701190033 PAS - SLUH
**Scheduled Weekly Hours:**
40
_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. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)_
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