Patient Account Representative II at SSM Health

, Missouri, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

0.0

Posted On

21 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Payments Processing, Denied Claims Follow-up, Denial Recovery, Appeals, Credit Balance Resolution, Refund Request Response, Third Party Claims Processing, Scheduling, EPIC, Process Improvement, Data Entry, Keyboard Use

Industry

Hospitals and Health Care

Description

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job 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 Services Work Shift: Day Shift (United States of America) 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. Create or login to your SSM Health Candidate Workday account to track your application progress and see real-time updates. Remember to keep a record of your login information to access your Candidate Workday account in the future! Current Employees & Contractors – please apply internally via the Career app on your Workday home page. Do not continue here. Visit here for more information.

Responsibilities

The role is responsible for processing the insurance component of patient obligations by billing claims appropriately and following up on denied claims through appeals and recovery procedures. Duties also include analyzing and resolving credit balances on patient accounts and responding to insurance carrier refund requests.