Patient Account Representative Ii

7 days ago


Fond du Lac, United States SSM Health Full time

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

WI-Agnesian Health Shoppe

**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**:
7816000034 PATIENT ACCTS - AHE

**Scheduled Weekly Hours**:
40
- 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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