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IL-REMOTE STL PLAN
Worker Type:
Regular
Pay Range:
$18.00 - $27.00
Pay Rate Type:
Hourly
SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law.
Job Summary:
Responsible for processing patient accounts. Duties may include one or more of the following: processing insurance payments, following up on denied claims, and resolving credit balances. May work in multiple functional areas.
Job Responsibilities and Requirements:
Primary Responsibilities
- Processes the insurance component of a patient's obligation using the third party claims processing and payment rules. Bills claims appropriately.
- Follows up on denied claims by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to resolve outstanding accounts.
- Analyzes credit balances on patient accounts and resolves. Responds to refund request letters from insurance carriers.
- Identifies process improvement opportunities and participates in improvement plans.
- Works on special projects as needed.
- May review the work of others.
- Performs other duties as assigned.
EDUCATION
- High School diploma/GED or 10 years of work experience
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
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
8700060033 PB Billing
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
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.Seniority level
Seniority level
Entry level
Employment type
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Job function
Health Care ProviderIndustries
Hospitals and Health Care
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