Patient Account Representative

🔥 18 hours ago

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SSM Health

10,000+ employees

⚕️ Healthcare Insurance

💰 Debt Financing on 2019-11

Healthcare Insurance

SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.

📋 Description

• Responsible for processing patient accounts. • 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.

🎯 Requirements

• Experience with denied hospital payment and follow up, to include insurance or Work Comp is required. • High school diploma or equivalent is required.

🏖️ 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.

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