What are the responsibilities and job description for the Patient Support Services - Eligibility Team (Full-time) position at Hudson Headwaters Health Network?
Job Description
Job Description
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
Position Summary :
The Patient Support Services Representative is responsible for patient phone calls, insurance correspondence, identifying billing trends and all other duties as assigned.
Essential Duties and Responsibilities : 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.
- 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.
- 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
Qualifications : The requirements listed below are representative of the knowledge, skill, and ability to perform the essential functions :
The pay rate for this position is $19.38 / hour.
Salary : $19
