Patient Account Representative

About the Role

The patient account representative role is a critical component of the revenue cycle team, working closely with other departments to ensure that patient accounts are resolved in a timely and professional manner. If you have excellent analytical and communication skills, and a strong attention to detail, this could be the perfect opportunity for you to join a leading healthcare provider and make a real difference in the lives of patients.

SSM Health is committed to providing exceptional patient care, and our patient account representatives are at the forefront of this effort. By joining our team, you will become part of a dynamic and supportive environment, where you will have the opportunity to grow and develop your skills, and make a lasting impact on the healthcare industry.

What You Will Do

• Process the insurance component of patient accounts, using third-party claims processing and payment rules
• Bill claims appropriately, following up on denied claims and performing appeals and denial recovery procedures
• Work denied claim lines and no-response claims to resolve outstanding accounts
• Analyze credit balances on patient accounts and resolve them in a timely and professional manner
• Respond to refund request letters from insurance carriers
• Perform other duties as assigned, including participating in quality improvement initiatives and contributing to the development of departmental policies and procedures
• Stay up-to-date with industry developments and regulatory changes, applying this knowledge to improve patient account processes and outcomes
• Collaborate with other departments, including patient access and health information management, to ensure seamless and efficient patient account processing
• Identify and escalate complex patient account issues to senior management, providing detailed analysis and recommendations for resolution
• Develop and maintain relationships with key stakeholders, including patients, families, and healthcare providers

What We Are Looking For

• High school diploma or equivalent
• Experience with hospital insurance denials and follow-up, or work comp
• Strong analytical and problem-solving skills, with the ability to navigate complex patient account processes
• Excellent communication and interpersonal skills, with the ability to work effectively with patients, families, and healthcare providers
• Strong attention to detail, with the ability to accurately process patient accounts and resolve credit balances
• Ability to work in a fast-paced, dynamic environment, with the ability to prioritize tasks and manage multiple projects simultaneously
• Strong technical skills, including proficiency in electronic health records and patient accounting systems
• Ability to work remotely, with a reliable internet connection and a dedicated workspace

Nice to Have

• Associate's or bachelor's degree in healthcare administration, business, or a related field
• Certification in patient account management, or a related field
• Experience with revenue cycle management, including patient access and health information management
• Strong knowledge of healthcare regulations, including HIPAA and ICD-10
• Experience with electronic health records and patient accounting systems, including EPIC and Cerner

Benefits and Perks

• Competitive salary and benefits package, including medical, dental, and vision coverage
• Opportunity to work remotely, with the flexibility to create your own schedule
• Professional development opportunities, including training and education programs
• Collaborative and supportive work environment, with a team of experienced patient account representatives
• Recognition and reward programs, including employee of the month and year awards
• Access to cutting-edge technology, including electronic health records and patient accounting systems
• Opportunities for advancement, including career development and leadership opportunities
• Paid time off, including vacation, sick leave, and holidays
• Retirement savings plan, including a 401(k) or pension plan
• Employee assistance program, including counseling and mental health resources
• Wellness program, including fitness classes and healthy living initiatives
• Tuition reimbursement program, including opportunities for education and career development
• Student loan forgiveness program, including opportunities for debt repayment and financial assistance

Company Culture

Career Development

Work-Life Balance

Conclusion

• Be prepared to provide specific examples of your experience with hospital insurance denials and follow-up, or work comp, in your resume and cover letter.
• Make sure to highlight your analytical and problem-solving skills, as well as your excellent communication and interpersonal skills.
• If you have experience with revenue cycle management, including patient access and health information management, be sure to emphasize this in your application.
• Consider obtaining certification in patient account management, or a related field, to demonstrate your expertise and commitment to the profession.
• Research the company culture and values, and be prepared to discuss how your own values and goals align with those of SSM Health.
• Practice your interview skills, including answering behavioral questions and discussing your experience and qualifications.
• Be prepared to ask questions during the interview, including questions about the company culture, the role, and opportunities for advancement.