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About the Role

The Patient Support Services Representative is responsible for handling patient phone calls, insurance correspondence, identifying billing trends, and performing other assigned duties. This role requires supporting internal and external inquiries professionally and courteously, maintaining data quality, and assisting Network staff with insurance-related matters.

Responsibilities

• Support all inquiries both internally and externally in a professional, courteous manner following HIPAA guidelines
• Support data quality by verifying accuracy of demographic and insurance information
• Support Network staff through verbal or written communication and education as needed, providing knowledge of participating insurances, eligibility status, claims inquiries, and adjustments or appeals.
• Complete audits as necessary
• Oversee hold, MGRHOLD, and other buckets assigned by manager
• Oversee correspondence dashboard, unpostable accounts, faxes, and mail
• Understand the refund processes by carrier to facilitate credit balances in accordance with Network policy
• Works with insurance companies and patients on claims resolution, keeping current on changes with all companies. This includes but is not limited to calling insurances and working with provider relations representatives, collecting, and posting insurance payments, and completing deposits.
• Answer all correspondence both internally and externally regarding billing issues.
• Complete all collections tasks as needed, including adjustments, patient collection calls, payments, deposits, and correspondence with the collection agency
• Helper’s Fund payment reporting, payment posting and tracking
• Liaise with all collection, coding, and billing vendors
• Enthusiastically support the Mission, Vision, and Core Values of Hudson Headwaters Health Network.
• Perform additional duties and special projects as assigned

Requirements

• High school diploma or general education degree (GED)
• At least three years billing experience or equivalent combination of education and experience
• Certified Professional Coder preferred but not required
• Strong customer service skills
• Strong organizational skills
• Ability to work with a variety of groups (managers, patients, insurance reps, other departments)
• Ability to interact in a professional and efficient manner
• Excellent computer skills, proficient in Excel and Word, Athena a plus

Skills

• HIPAA guidelines
• Excel
• Word
• Athena

Location

• Queensbury, NY

Work Type

• Remote
• Temporary
• Full-time

Experience Level

• 3+ years billing experience

Education Level

• High school diploma or GED

Salary/Compensations

• $19.77/hour

Benefits

• Not eligible to receive benefits
• Not eligible to accrue PTO

About the Company

• Hudson Headwaters Health Network