**It's more than a career, it's a calling.** MO-SSM Health Mission Hill **Worker Type:** Regular **Job Summary:** Secures scheduled encounters by verifying insurance, identifying, and completing payer authorization requirements, creating, and communicating estimated patient liabilities preservice. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Gathers incoming work orders, clinical information, interviews client/referral source to secure demographic, financial, and qualifying data, while timely securing verification and authorization of benefits; records accurate information to support data integrity and maximize reimbursement potential. + Verifies insurance details, documents insurance benefits, produces price estimates, and communicates with patients regarding pre-registration and collection items. + Works collaboratively with insurance companies, providers and staff to ensure plan requirements have been met prior to patient services being rendered in order to maximize reimbursement. + Operates computer system to record/document and retrieve information to ensure appropriate agency services are provided in a timely manner. + Effectively utilizes medical terminology to collaborate with physicians, case managers, and branch leaders to effectively identify and coordinate patient care needs. + Responsible for management of EPIC in-basket and other requested authorizations across the system; specifically reviewing work queues. + Educates patients and clinical caregivers regarding referral, authorization requirements, payer coverage, eligibility guidelines, and other insurance related changes. + Completes annual education and licensing requirements timely and at a satisfactory level. + Works in a constant state of alertness and safe manner. + Performs other duties as assigned. EDUCATION + High School diploma/GED or 10 years of work experience EXPERIENCE + 1-3 years’ experience in a medical business office or health care setting involving customer service or patient-facing responsibilities, or equivalent 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 **Work Shift:** Day Shift (United States of America) **Job Type:** Employee **Department:** 8071000114 Intake/Admissions **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. + **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. Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits) _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)_