Patient Account Representative PRN
SSM-SLUH, Inc

Job Info

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It's more than a career, it's a calling.
MO-SSM Health Saint Louis University Hospital

Worker Type:
PRN

Job Highlights:

This is a PRN position.

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 or equivalent

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.

Department:
21200037 Outpatient Services

Work Shift:
Day Shift (United States of America)

Scheduled Weekly Hours:
0

SSM Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

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