Patient Support Services Specialist (Full-Time, Temporary)

Requisition Number.

26-2081

Location/Store Number.

The George Purdue Administrative Building

Job Description/Requirements.

HHHN Mission

To provide the best health care, and access to that care, for everyone in our communities

HHHN Vision

To pioneer an innovative, sustainable, and community-focused health system through comprehensive

primary care and diverse partnerships

Proposed Schedule: 40 hours per week. Monday-Friday 8am-4:30pm.

Please note: While this is a remote position, candidates must reside in New York State. This position is temporary and is not eligible to receive benefits or accrue PTO. End date will be determined by the hiring manager.

Essential Duties and Responsibilities:

The Patient Support Services Representative is responsible for patient phone calls, insurance correspondence, identifying billing trends and all other duties as assigned. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily:

• 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