About this role

It's more than a career, it's a calling.
OK-SSM Health Medical Group Shawnee Medical Park 3208

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. Typically works in no more than two 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.
- Performs other duties as assigned.

EDUCATION

- High School diploma/GED or 10 years of work experience

EXPERIENCE

- No experience required

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:
7151030024 SPS ENT KICKAPOO

Scheduled Weekly Hours:
40

SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Click here to learn more.