Ambulatory Care Admin & Referral Navigator

Upstate; Town of Verona (NY); On-site; USD 42,000 - 65,000; Full time

Job summary

Upstate seeks an Outpatient Administrative Specialist to provide clinical administrative support in the ambulatory area. You will assist with patient check-in/check-out, registration, and collecting co-pays, while handling referrals, authorizations, and denial management in EPIC.

Responsibilities include preparing monthly activity reports, guiding patients through insurance requirements, and supporting staff with documentation and communications.

Qualifications

• Associate's degree and two years relevant patient financial/insurance services experience in a healthcare setting.
• Working knowledge of medical terminology, insurance requirements, and medical coding.
• Excellent written and oral communication; proficient computer skills.

Responsibilities

• Provide clinical administrative support in the ambulatory area.
• Assist with monthly activity reports by compiling data.
• Serve as a resource for referrals, authorizations, and denial management.
• Assist with patient check-in/out, registration, and collecting co-pays.
• Advise patients on insurance requirements and ABN/Waiver signatures.
• Obtain authorizations and referrals; manage cross-area assignments as needed.

Skills

Communication skills

Medical terminology

Public relations

Administrative support

Billing/insurance knowledge

Education

Associate's degree

Tools

Epic

Word

Outlook

Job description

Upstate seeks an Outpatient Administrative Specialist to provide clinical administrative support in the ambulatory area. You will assist with patient check-in/check-out, registration, and collecting co-pays, while handling referrals, authorizations, and denial management in EPIC.

Responsibilities include preparing monthly activity reports, guiding patients through insurance requirements, and supporting staff with documentation and communications.