Patient Account Representative II

Lensa; United States; Remote; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare organization is looking for a Patient Account Representative to handle patient accounts, focusing on processing insurance claims and addressing denied claims. This entry-level position requires a high school diploma or equivalent and offers flexibility and comprehensive benefits, including paid parental leave and tuition assistance.

Benefits

Paid Parental Leave

Flexible Payment Options

Upfront Tuition Coverage

Qualifications

• Must have a high school diploma or equivalent.
• Requires one year of experience in a related field.
• Ability to analyze credit balances and appeals.

Responsibilities

• Processes insurance payments and follows up on denied claims.
• Analyzes credit balances on patient accounts and resolves them.
• Identifies process improvement opportunities.

Skills

Attention to detail

Analytical skills

Communication

Education

High School diploma or GED

Job description

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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.

Primary Responsibilities

Job Responsibilities and Requirements:

• 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 (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)

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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