Through our exceptional health care services, we reveal the healing presence of God.
Patient Account Representative II
Location
United States
Posted
2 days ago
Salary
Not specified
Seniority
Mid Level
No structured requirement data.
Job Description
It's more than a career, it's a calling.
MO-REMOTEWorker Type:
RegularJob Highlights:
Patient Access Representative II-One year of experience is required
7:00AM-5:00PM-Shift will be determined upon hired
Healthcare, EPIC & Scheduling experience preferred
On Site training for 2 weeks-Monday-Friday-than transitioned to remote
Candidate must reside within driving distance of the location
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
Department:
2064000037 Outpatient ServicesWork Shift:
Day Shift (United States of America)Scheduled Weekly Hours:
40Benefits:
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.
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.
Job Requirements
- High School diploma/GED or 10 years of work experience
- One year experience
- 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.
Benefits
- Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Flexible Payment Options: voluntary benefit offered through DailyPay for eligible hourly team members to access their earned, unpaid base pay before payday (fees may apply).
- Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.
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