Jobs · Healthcare

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.

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