What are the responsibilities and job description for the Patient Account Representative I position at SSM Health?
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MO-SSM Health Corp Lake Drive 1145
Worker Type : Regular
Regular
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 / GED or 10 years of work experience
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.
REQUIRED PROFESSIONAL LICENSE AND / OR CERTIFICATIONS
None
Work Shift :
Day Shift (United States of America)
Job Type : Employee
Employee
