Job Information
SSM Health Patient Financial Services Representative II in Saint Louis, Missouri
It's more than a career, it's a calling.
MO-SSM Health Cardinal Glennon Children's Hospital
Worker Type:
Regular
Job Highlights:
The ) Transplant Financial Coordinator(TFC) is part of a multi-disciplinary team responsible for providing accurate financial clearance and patient financial account management for all patients undergoing hematopoietic stem cell transplant (and solid organ transplant) and cellular therapy including CAR-T cell therapy. This involves ensuring that patients have adequate insurance coverage for the initial, ancillary, speciality care and subsequent after care visits and services related to these procedures, including but not limited to immunosuppressive medications and medical equipment.
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:
4073000010 Transplantation Srv
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. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)