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WI-Agnesian Health Shoppe

Worker Type:

Regular

Job Highlights:

Department: Medical Equipment

Schedule: Mon – Fri, 8:00am -4:30pm (no weekends)

Sign on Bonus: Up to $500

Starting Pay: $18/hr

Location: 307 Camelot Drive FDL, WI

The Agnesian Health Shoppe offers a complete line of quality home health and respiratory equipment, from sales and rentals to repairs. We support physicians and patients in making the right choice for home medical equipment needs. We are dedicated to offering quality service and exceptional care to all our customers.

We have an opening for a Patient Account Representative II to prepare and submit claims, conduct claims follow-up activities and generate billing statements and collection notices. This is a great opportunity to join a well – established company in the community!

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:

8081000116 PAS/Rev Cycle Teams

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

20

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. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)