Patient Access Representative

Patient Account Representative I

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

MO-REMOTE

Worker Type: Regular

Job Highlights:

Are you experienced in insurance followup and denial resolution and looking for a stable, fully remote role where your expertise truly makes an impact? Join our team as a Patient Account Representative I, where you’ll play a critical role in resolving denied and underpaid claims, navigating payer portals, and ensuring accurate reimbursement all while working Monday through Friday with no nights, weekends, or oncall requirements.

This role is ideal for someone who is experienced with working denials through resolution and partnering with payers to drive results. If you’re detail-oriented, comfortable working independently in a remote environment, and bring handson insurance followup experience (beyond customer service), this is a great opportunity to put your skills to work in a meaningful, patientfocused setting.

Monday - Friday, 8 a.m. to 4:30 p.m.

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
• Insurance follow-up and experience with insurance payor portals strongly preferred
• Proficiency with Excel and Word

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

Benefits:

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

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.