Patient Support Services - Eligibility Team (Full-Time)

Hudson Headwaters Health Network•Queensbury, NY

About The Position

The Patient Support Services Representative supports patient billing and insurance needs through phone calls, correspondence, data verification, claims resolution, and related administrative work. The role supports internal and external inquiries professionally and courteously while following HIPAA guidelines, and supports the Mission, Vision, and Core Values of Hudson Headwaters Health Network. The proposed schedule is 40 hours per week, Monday through Friday, 7:00 a.m. to 3:30 p.m. The pay rate is $19.77 per hour.

Requirements

High school diploma or General Education Development (GED).
At least three years of billing experience or an equivalent combination of education and experience.
Strong customer service skills.
Strong organizational skills.
Ability to work with a variety of groups, including managers, patients, insurance representatives, and other departments.
Ability to interact professionally and efficiently.
Excellent computer skills, including proficiency in Excel and Word.

Nice To Haves

Certified Professional Coder certification is preferred but not required.
Athena experience is a plus.

Responsibilities

Handle patient phone calls and internal and external inquiries professionally, courteously, and in accordance with HIPAA guidelines.
Verify demographic and insurance information to support data quality.
Provide Network staff with verbal or written communication and education regarding participating insurances, eligibility status, claims inquiries, adjustments, and appeals.
Oversee assigned hold, MGRHOLD, and other buckets.
Oversee the correspondence dashboard, unpostable accounts, faxes, and mail.
Understand carrier refund processes and facilitate credit balances in accordance with Network policy.
Work with insurance companies and patients to resolve claims, stay current on changes with insurance companies, contact insurers and provider relations representatives, collect and post insurance payments, and complete deposits.
Respond to internal and external correspondence regarding billing issues.
Liaise with collection, coding, and billing vendors.
Support the Mission, Vision, and Core Values of Hudson Headwaters Health Network.
Perform additional duties and special projects as assigned.