Offer summary

Qualifications:

High School diploma or GED, or 10 years of relevant work experience., At least one year of experience in a similar role., Strong analytical skills for resolving credit balances and denied claims., Ability to perform data entry and use keyboard frequently..

Key responsibilities:

Process patient accounts and insurance payments according to claims processing rules.

Follow up on denied claims and perform appeals to recover outstanding accounts.

Analyze and resolve credit balances on patient accounts.

Identify process improvement opportunities and participate in special projects.

Job description

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

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. May work in multiple 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.
Identifies process improvement opportunities and participates in improvement plans.
Works on special projects as needed.
May review the work of others.
Performs other duties as assigned.

EDUCATION

High School diploma/GED or 10 years of work experience

EXPERIENCE

One year experience

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

Department:

8700120033 PB Insurance Follow Up

Scheduled Weekly Hours:

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

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.

Explore All Benefits

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.

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