Note: The job is a remote job and is open to candidates in USA. SSM Health is dedicated to providing exceptional patient care and is seeking a Patient Financial Services Representative I to assist patients with their insurance coverage. The role involves determining patient financial responsibilities, providing financial counseling, and ensuring accurate communication regarding insurance benefits.

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

• Experience with insurance portals
• Epic
• Proficient computer skills
• Excellent customer service skills
• Strong understanding of insurance processes, including Medicare and Medicaid replacement plans
• High School diploma/GED or 10 years of work experience
• No experience required
• 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
• 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
• None required professional license and/or certifications

Benefits

• 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.

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