Patient Accounts Representative, Sr.

Company: SSM Health
Location: Saint Louis
Posted on: June 25, 2022

Job Description:

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

• 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 or equivalent
    EXPERIENCE
    • One year experiencePHYSICAL 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
        Preferred

        Job Industries

        • Customer Service

Keywords: SSM Health, St. Louis , Patient Accounts Representative, Sr., Other , Saint Louis, Missouri