Patient Financial Services Representative II
SSM Health
full-time
Posted on:
Location Type: Remote
Location: Illinois • Montana • United States
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Job Level
About the role
- Responsible for determining the patient financial component for patient services.
- Estimates, communicates and collects the patient financial responsibility and provides patient financial counseling.
- 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.
Requirements
- Experience and understanding of revenue cycle, insurance and self-pay balances is strongly preferred.
- One year experience.
- High School diploma/GED or 10 years of work experience.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
patient financial counselinginsurance verificationfinancial responsibility estimationdemographic information collectionprocess improvementMaster Patient Index validationthird-party payer qualificationfinancial assistance program educationrevenue cycle managementinsurance and self-pay balance understanding
Soft Skills
communicationproblem-solvingcustomer serviceinterpersonal skillsorganizational skills
Certifications
High School diplomaGED