Patient Support Services Specialist - Remote (Full-Time, Temporary)

Hudson Headwaters Health Network•Town of Queensbury, NY

2d•Remote

About The Position

The Patient Support Services Specialist handles patient phone calls, insurance correspondence, billing trends, and other assigned duties. The role supports internal and external inquiries professionally and in accordance with HIPAA guidelines, verifies demographic and insurance information, and assists network staff with insurance knowledge, eligibility, claims inquiries, adjustments, and appeals. The position also manages assigned work queues and correspondence, helps resolve claims and credit balances, performs collections and payment-related tasks, and coordinates with vendors. This is a temporary remote position. Applicants must live within reasonable driving distance of Queensbury, New York. The proposed schedule is 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m. The end date will be determined by the hiring manager. The position is not eligible for benefits or PTO accrual. Pay is $19.77 per hour.

Requirements

High school diploma or 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 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.
Experience with Athena.

Responsibilities

Handle internal and external inquiries professionally and courteously while following HIPAA guidelines.
Verify demographic and insurance information to support data quality.
Support network staff through verbal or written communication and education regarding participating insurance plans, eligibility, claims inquiries, adjustments, and appeals.
Complete audits as necessary.
Oversee assigned hold, MGRHOLD, and other work queues.
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, including calling insurers, working with provider relations representatives, collecting and posting insurance payments, and completing deposits.
Respond to internal and external correspondence regarding billing issues.
Complete collections tasks as needed, including adjustments, patient collection calls, payments, deposits, and correspondence with the collection agency.
Report, post, and track Helper’s Fund payments.
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.