Patient Support Services Specialist - Hybrid (Full-Time, Temporary)
Hudson Headwaters Health Network
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At a glance
Job overview
Hudson Headwaters Health Network is hiring a Patient Support Services Specialist - Hybrid (Full-Time, Temporary). The Patient Support Services Specialist provides professional phone and insurance support, verifies demographic and insurance data, assists staff with eligibility and claims issues, conducts audits, manages hold queues and correspondence, processes refunds and collections, collaborates with vendors, and handles special projects, all within a hybrid temporary schedule.
Key focus areas include Support all inquiries internally and externally in a professional, courteous manner following HIPAA guidelines, Verify accuracy of demographic and insurance information to support data quality, and Communicate and educate Network staff regarding participating insurances, eligibility, claims inquiries, adjustments, and appeals.
Important skills include HIPAA, Patient Phone Calls, Insurance Correspondence, Data Quality Verification, Communication, and Insurance Knowledge.
Skills & qualifications
Skills
Full job description
Requisition Number.
26-2147
Location/Store Number.
The George Purdue Administrative Building
Job Description/Requirements.
Proposed Schedule: 40 hours per week. Monday-Friday 8am-4:30pm.
Please note: This is a hybrid position and requires being in the office 3 days a week. This position is temporary and is not eligible to receive benefits or accrue PTO. End date will be determined by the hiring manager.
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:
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Support all inquiries both internally and externally in a professional, courteous manner following HIPAA guidelines
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Support data quality by verifying accuracy of demographic and insurance information
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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.
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Complete audits as necessary
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Oversee hold, MGRHOLD, and other buckets assigned by manager
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Oversee correspondence dashboard, unpostable accounts, faxes, and mail
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Understand the refund processes by carrier to facilitate credit balances in accordance with
Network policy
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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.
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Answer all correspondence both internally and externally regarding billing issues.
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Complete all collections tasks as needed, including adjustments, patient collection calls, payments, deposits, and correspondence with the collection agency
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Helper’s Fund payment reporting, payment posting and tracking
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Liaise with all collection, coding, and billing vendors
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Enthusiastically support the Mission, Vision, and Core Values of Hudson Headwaters Health Network.
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Perform additional duties and special projects as assigned
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