Patient Account Representative II

SSM Health; United States; Remote; USD 40,000 - 55,000; Full time

Job summary

Join a leading health care organization as a Patient Account Processor. You will be responsible for handling insurance payments and resolving claims, contributing to the financial integrity of patient accounts. This role offers opportunities for professional development and the chance to make an impact in patient care.

Benefits

Paid Parental Leave

Flexible Payment Options

Upfront Tuition Coverage

Qualifications

• A minimum of one year of related experience is required.
• Ability to analyze credit balances on accounts and respond to refund requests.

Responsibilities

• Processes insurance components and bills claims appropriately.
• Follows up on denied claims and performs appeals as needed.
• Identifies process improvement opportunities and participates in plans.

Skills

Insurance processing

Claims follow-up

Analysis

Education

High School diploma/GED

Job description

It's more than a career, it's a calling.

MO-REMOTE

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

Regular

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

• 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

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8700120033 PB Insurance Follow Up

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.

About the company

SSM Health is a Catholic, not-for-profit United States health care system with 11,000 providers and nearly 39,000 employees in four states, including Wisconsin, Oklahoma, Illinois, and Missouri.

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