Patient Account Representative II at CareerBuilder

Posted in Other 12 days ago.

Location: Ripon, Wisconsin





Job Description:

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

WI-Ripon Medical Center



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 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.




Work Shift:

Variable Shift (United States of America)



Job Type:



Employee



Department:

44030182 SURGERY



Scheduled Weekly Hours:

32


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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