Patient Support Services - Eligibility Team (Full-Time)
Hudson Headwaters Health Network · NY, US
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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 all internal and external inquiries professionally and courteously, adhering to HIPAA guidelines. The position also involves supporting data quality by verifying demographic and insurance information accuracy, and assisting Network staff with insurance-related knowledge.
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.
- Oversee hold, MGRHOLD, and other buckets assigned
- Oversee correspondence dashboard, unpostable accounts, faxes, and mail
- Understand the refund process 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.
- 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
- 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
Skills
- Certified Professional Coder preferred but not required
- Excellent computer skills
- Proficient in Excel and Word
- Athena a plus
Work Type
- 40 hours per week
- Monday-Friday 7am-3:30pm
Experience Level
- At least three years billing experience
Education Level
- High school diploma or general education degree (GED)
Salary/Compensations
- $19.77/hour
About the Company
- Enthusiastically support the Mission, Vision, and Core Values of Hudson Headwaters Health Network.