Patient Account Representative I

SSM HealthFond du Lac, WI
Hybrid

About The Position

It's more than a career, it's a calling. WI-SSM Health at Home Fond du Lac Camelot Worker Type: Regular Job Highlights: This position offers a hybrid work arrangement and requires candidates to be within commuting distance of Fond du Lac, Wisconsin. If you are detail-oriented, self-motivated, and possess strong organizational and communication skills, we encourage you to apply. Schedule: Full Time. Monday-Friday, 8am - 4:30pm 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. Typically works in no more than two functional areas.

Requirements

  • Experience with hospital insurance, patient accounts and denied claims strongly preferred.
  • High School diploma/GED or 10 years of work experience

Nice To Haves

  • detail-oriented
  • self-motivated
  • strong organizational and communication skills

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.
  • Performs other duties as assigned.

Benefits

  • one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE)
  • instant access to their earned, unpaid base pay (fees may apply) before payday
  • upfront tuition coverage through FlexPath Funded for eligible team members
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