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Patient Account Representative I

SSM Health
MO-REMOTE, United States, United StatesRemotefull_timeVerifiedPosted 4 Feb 2025

About the role

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

MO-REMOTE

Worker Type:

Regular

Job Highlights:

Great Opportunity!!! 

Schedule: Full Time. Monday-Friday, 7:00 AM to 8:30 AM start time, last shift ends at 5:00 PM

Starting Pay: $18 (Offers are based on years of experience and equity for this role.) 

Location: Remote 

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.

Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. 

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 or equivalent


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.

Department:

8701000033 RCO Liaisons/Analysts

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

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Company

SSM Health

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