Insurance – Case Manager

Its more than a career, its a calling.

MO-SSM Health Ambulatory Care Center CSM

Worker Type:

Regular

Job Highlights:

​· Department: Dermatology

· Schedule: Full Time, Day​

· No nights, weekends, holidays, on call

· Starting Pay: $23.86​· Location: Midtown – St. Louis

Our mission and values put the patient first and helps you to feel valued while respecting teamwork and collaboration. This position requires a bachelors degree and three (3) years experience in case management and/or insurance. At SSM Health, we know the healing power of presence begins with compassionate people like you.

Daily Pay : Get paid daily doing the work you love in a way that fits your life. At SSM Health St Anthony, we believe you deserve the flexibility to work a schedule that fits your life and to get paid when you need it.

Job Summary:

Screens and interviews patients without insurance for Medicaid, Medicaid CAU, private insurance through the state health exchange, and Social Security Disability and completes applications for eligible patients. Assesses the patients social needs and refers to appropriate resources.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

Completes applications and follow up documentation, including obtaining verification, submitting applications in person or electronically, attending appointments with or for the patient and constructing medical history, in an effort to establish disability as required by Medicaid and Social Security Disability.

Manages the appeal process by following up on appeals in a timely manner.

Sets appropriate goals with every patient and contacts patients in a timely manner to update goals.

Connects patients with appropriate public and private assistance programs based on needs identified during the initial assessment, re-assessment, and goal planning with the patient.

Communicates patient and family needs to outside agencies.

Communicates with billing and local providers that the patient is approved so proper billing can take place.

Follows up regularly on applications with patients and the Medicaid, state health insurance exchange, and Social Security Disability offices to ensure the application process is completed.

Works in a constant state of alertness and safe manner.

Performs other duties as assigned.

EDUCATION

Bachelors degree

EXPERIENCE

Three years experience

PHYSICAL REQUIREMENTS

Frequent reaching, sitting, standing and walking.

Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more).

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, climbing, twisting and gripping.

Occasional lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

Occasional use of vision to identify and distinguish colors.

Occasional driving.

Rare repetitive foot/leg and hand/arm movements and squatting.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

None

Department:

4900230235 SLUCR DERM CSM 3L GEN

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)