Patient Account Representative I

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

WI-SSM Health West Beltline

Worker Type:

Regular

Job Highlights:

Great Opportunity!!!

Starting Pay: $18.00 (Offers are based on years of experience and equity for this role.) 

Location: 1808 West Beltline Highway

Schedule: Full Time. Monday through Friday, 7:30 AM to 4:00 PM or 8:00 AM to 4:30 PM.

At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

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. Typically works in no more than two 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.
• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

EXPERIENCE

• No experience required

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:

8700160033 Claims- Payment and Credit - MO/IL

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

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