Patient Account Representative II
SSM Health · Missouri, United States · 2 wk ago
RemoteRemoteHealthcareFull-time
This is a full-time, remote position based in Missouri, requiring residency within 2 hours of the hospital location.
Schedule
- Day shift: Monday–Friday, 8:30 AM–5:00 PM
- 40 scheduled weekly hours
Responsibilities
- Process the insurance component of a patient’s obligation using third-party claims processing and payment rules.
- Bill claims appropriately.
- Follow up on denied claims by performing appeals and denial recovery procedures.
- Work denied claim lines and no-response claims to resolve outstanding accounts.
- Analyze and resolve credit balances on patient accounts.
- Respond to refund request letters from insurance carriers.
- Identify process improvement opportunities and participate in improvement plans.
- Work on special projects as needed.
- May review the work of others.
- Perform other duties as assigned.
Requirements
- High School diploma or GED or 10 years of work experience.
- One year of experience in medical authorization, coding, or health finance.
Physical Requirements
- Frequent lifting, carrying, pushing, or 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 near (20 inches or less) and far (20 feet or more) distances, including color identification.
- Frequent use of hearing and speech to share information orally and to hear alarms or malfunctioning machinery.
- Frequent keyboard use and data entry.
- Occasional bending, stooping, kneeling, squatting, twisting, and gripping.
- Occasional lifting, carrying, pushing, or pulling objects weighing 25–50 lbs.
- Rare climbing.
Benefits
- Paid parental leave: one week for newborns or newly adopted children (pro-rated based on FTE).
- Flexible payment options: instant access to earned, unpaid base pay before payday through DailyPay (fees may apply).
- Upfront tuition coverage through FlexPath Funded for eligible team members.