Patient Support Services – Eligibility Team (Full-time) in Queensbury, New York

HHHN Mission

To supply the most effective well being care, and entry to that care, for everybody in our communities.

HHHN Imaginative and prescient

To pioneer an modern, sustainable and community-focused well being system via complete main care and various partnerships

Proposed Schedule: 40 hours per week. Monday-Friday 7am-3:30pm

Notice: This can be a distant place however should stay inside commuting distance to the Administrative Constructing in Queensbury, NY.

Place Abstract:

The Affected person Assist Providers Consultant is accountable for affected person telephone calls, insurance coverage correspondence, figuring out billing traits and all different duties as assigned.

Important Duties and Duties: To carry out this job efficiently, a person should be capable to carry out every important obligation satisfactorily:

• Assist all inquiries each internally and externally in an expert, courteous method following HIPAA pointers

• Assist information high quality by verifying accuracy of demographic and insurance coverage data

• Assist Community employees via verbal or written communication and training as wanted, offering information of collaborating insurances, eligibility standing, claims inquiries, and changes or appeals.

• Oversee maintain, MGRHOLD, and different buckets assigned by supervisor

• Oversee correspondence dashboard, unpostable accounts, faxes, and mail

• Perceive the refund processes by service to facilitate credit score balances in accordance with Community coverage

• Works with insurance coverage firms and sufferers on claims decision, maintaining present on modifications with all firms. This contains however isn’t restricted to calling insurances and dealing with supplier relations representatives, gathering, and posting insurance coverage funds, and finishing deposits.

• Reply all correspondence each internally and externally relating to billing points.

• Liaise with all assortment, coding, and billing distributors

• Enthusiastically help the Mission, Imaginative and prescient, and Core Values of Hudson Headwaters Well being Community.

• Carry out further duties and particular initiatives as assigned

  {Qualifications}: The necessities listed under are consultant of the information, talent, and talent to carry out the important features:

• Highschool diploma or common training diploma (GED)

• At the very least three years billing expertise or equal mixture of training and expertise

• Licensed Skilled Coder most popular however not required

• Sturdy customer support expertise

• Sturdy organizational expertise

• Skill to work with quite a lot of teams (managers, sufferers, insurance coverage reps, different departments)

• Skill to work together in an expert and environment friendly method

• Glorious pc expertise, proficient in Excel and Phrase, Athena a plus

  The pay charge for this place is $18.50/hour