Hudson Headwaters Health Network

Role Description 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. - Work 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. Qualifications - High school diploma or general education degree (GED). - At least three years billing experience or equivalent combination of education and experience. - Certified Professional Coder preferred but not required. - Strong customer service skills. - Strong organizational skills. - Ability to work with a variety of groups (managers, patients, insurance reps, other departments). - Ability to interact in a professional and efficient manner. - Excellent computer skills, proficient in Excel and Word, Athena a plus. Requirements - 40 hours per week. Monday-Friday 8am-4:30pm. - 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. Benefits - The pay rate for this position is $19.77/hour.

Role Description This is a remote position but candidates must reside in New York State. Proposed Schedule: 40 hours per week. Monday-Friday 7am - 3:30pm. Essential Duties and Responsibilities: - Responsible for all phases of coding and charge entry for health center services. - Acts as support call center for all coding and charge entry questions. - Reviews health center, nursing home and hospital encounters and completes for accurate coding and charge entry. - Reviews paper and electronic encounters for accurate coding and enters charges in Athena, which includes CPT, E/M, and ICD-10 coding. - Requests additional information to accurately complete encounters from the appropriate locations or providers as needed. - Responsible for Hold Buckets on a daily/weekly basis as assigned by manager. - Demonstrates a good working knowledge of CPT, ICD10, HCPCS code books as well as remaining current on CPT, ICD10 and regulatory changes. - Reviews patient charts for missing information and communicates with Health Center Management to obtain the missing information. - Identifies areas of training and/or improvements for providers, coding vendor, and HHHN coders. - All other duties as assigned by manager. Qualifications - High school diploma or general education degree (GED). - CPC required. - At least three years’ experience in coding, medical terminology, or equivalent combination of education and experience. - Strong customer service skills. - Strong organizational skills. - Ability to work with a variety of groups (managers, patients, insurance reps, other departments). - Ability to interact in a professional and efficient manner. - Excellent computer skills, proficient in Excel and Word, Athena a plus.