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

Hudson Headwaters Health Network•Queensbury, NY
•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, maintains accurate demographic and insurance data, and helps Network staff with insurance, eligibility, claims, adjustments, and appeals questions. The position also manages assigned account queues and correspondence, supports refunds and credit-balance processing, and works with insurers and patients to resolve claims. Additional work includes payment and deposit processing, collections, reporting and tracking payments for the Helper’s Fund, and coordination with collection, coding, and billing vendors. The role supports Hudson Headwaters Health Network’s Mission, Vision, and Core Values and may include additional duties and special projects. This is a temporary remote position for 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m. Applicants must live within reasonable driving distance of Queensbury, New York. 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.
  • Must live within reasonable driving distance of Queensbury, New York.

Nice To Haves

  • Certified Professional Coder certification.
  • Experience with Athena.

Responsibilities

  • Respond professionally and courteously to internal and external inquiries while following HIPAA guidelines.
  • Verify demographic and insurance information to support data quality.
  • Provide Network staff with verbal or written information and education about participating insurance plans, eligibility, claims inquiries, adjustments, and appeals.
  • Complete audits as needed.
  • Oversee hold, MGRHOLD, and other manager-assigned account buckets.
  • Oversee the correspondence dashboard, unpostable accounts, faxes, and mail.
  • Apply carrier refund processes to facilitate credit balances in accordance with Network policy.
  • Work with insurance companies and patients to resolve claims, including contacting insurers and 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.
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