at SSM Health in Springfield, Illinois, United States
Job Description
It’s more than a career, it’s a calling.
IL-REMOTE
Worker Type:
Regular
Job Highlights:
M-F Flex Hours – (8) hour Day Shift start time range from 6a – 9a.
M-F No Weekends | No Holidays Work/Life Balance !
At SSM Health, we know the healing power of presence begins with compassionate employees like you. As a Patient Account Representative , you’ve chosen a career where patients matter-a lot. Our Mission and Values put the patient first and place you in a position to improve each day.
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:
8700000033 Revenue Cycle Management
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 protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)
