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Patient Account Representative I

Company: SSM Health
Location: Madison
Posted on: September 15, 2021

Job Description:

SSM Health at Home is currently hiring for a caring, compassionate person looking for an opportunity to work in the healthcare industry!

Our mission and values put the patient first and place you in a position to improve each day. The ­­­­­­­­­­­Patient Financial Services Rep is as important as any other function in the healthcare delivery system. You serve as the ambassador of service between the patient and SSM Health.

In return, you can expect a work environment where:

  • Work in a fast-paced environment using the most advanced tools;
  • Utilize personal skills to help those in need
  • Opportunity to work with physicians, nurses, and other medical staff in a team/collaborative setting for the overall good of SSM and the patient
Responsible for determining the patient financial component for patient services. Estimates, communicates and collects the patient financial responsibility and provides patient financial counseling.

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.

Keywords: SSM Health, Madison , Patient Account Representative I, Other , Madison, Wisconsin

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