Patient Account Representative II
SSM Health
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Job Level
About the role
- 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.
- 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.
Requirements
- One year of experience is required
- Healthcare, EPIC & Scheduling experience preferred
- High School diploma/GED or 10 years of work experience
Benefits
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processinginsurance paymentsdenial recovery procedurescredit balance analysisbillingappealsprocess improvement
Soft Skills
problem-solvingattention to detailcommunicationorganizational skills