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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

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