Outpatient Administrative Specialist
SUNY Upstate Medical University
Job Summary:
The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. Serves as a resource for providers and staff relative to the referral and authorization processes. Assist with registration activities such as entering and/or verifying demographic, insurance and/or financial information. Manage the EPIC Referral WQs. Responsible for the processing of incoming/outgoing patient referrals for all providers. Work with/advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc. Applies understanding of the need for ABN's and Waiver of Liability patient signatures. Obtains insurance authorizations, referrals, and manages denial processes in an accurate and efficient manner. Experience with answers phone, prioritizes incoming mail, faxes and incoming correspondence. Accepts assignments to other areas and performs additional administrative support duties as assigned.
Minimum Qualifications:
Associate's degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Working knowledge of medical terminology, familiarity with medical coding, and excellent written/oral communication skills required. Computer skills and keyboarding are necessary. Ability to maintain good public relations with patients, visitors, co-workers and other individuals.
Preferred Qualifications:
Prior working experience in ambulatory patient care administrative functions including obtaining referrals and insurance authorizations, managing EPIC referral work queues, communicating with outside agencies such as insurance carriers, billing companies and/or other support agencies preferred. Working knowledge of computer systems such as Epic, Word, Outlook, etc. preferred.
Work Days:
M-F Days
Message to Applicants:
This position is located in the Nappi building
Recruitment Office: Human Resources
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