Company

SSM HealthSee more

addressAddressSaint Louis, MO
type Form of workFull-Time
CategoryAccounting/Finance

Job description

It's more than a career, it's a calling.
MO-SSM Health DePaul Hospital - St. Louis
Worker Type:
Regular
Job Highlights:
Preferred: Experience with HC and Insurance Companies in order to perform Benefits Verification and Prior Authorizations. Communicate well in order to explain the benefit coverage to patients.
M-F Hours - (8) hour Day Shift In - Office Role
At SSM Health, we know the healing power of presence begins with compassionate employees like you. As a Patient Account Representative, you've chosen a career where patients matter-a lot. Our Mission and Values put the patient first and place you in a position to improve each day.
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 or equivalent

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.

Department:
3809000128 Rheumatology Infusion
Work Shift:
Day Shift (United States of America)
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.
Refer code: 7872163. SSM Health - The previous day - 2024-01-21 15:13

SSM Health

Saint Louis, MO
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