Clinical Admin & Referrals Specialist (EPIC)

SUNY Upstate Medical University

City of Syracuse (NY)

On-site

USD 32,000 - 50,000

Full time

14 days+

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Benefits offered by this job

Health, dental and vision insurance
401k after 1 year
Tuition reimbursement
Paid time off
Paid sick leave
Holidays and floating holidays

Job summary

Thisiscny is seeking an Administrative Specialist to provide clinical administrative support in the ambulatory area. You will help prepare monthly activity reports, address referral/authorization issues, and assist with patient registration and co-pays.

You will manage EPIC Referral WorkQueues, answer calls, and coordinate with patients and insurers to gather necessary documentation and signatures. The role requires excellent communication and organizational skills.

Qualifications

  • Associate's degree and four years of relevant patient financial/insurance services experience in a healthcare setting or equivalent.
  • Working knowledge of medical terminology, medical billing/insurance requirements, familiarity with medical coding, and excellent written/oral communication skills.

Responsibilities

  • Provide clinical administrative support to the ambulatory area.
  • Assist in preparing monthly activity reports by compiling statistical data for clinic services.
  • Serve as a SME for providers and staff on referral and authorization processes.
  • Assist with patient check-in/check-out and registration tasks.
  • Manage EPIC Referral WorkQueues.
  • Answer phones and handle mail, faxes, and correspondence.
  • Explain insurance carrier requirements and collect co-pays.
  • Obtain ABN signatures and Waiver of Liability where applicable.
  • Obtain authorizations/referrals and manage denial processes.
  • Accept assignments to other areas as needed.

Skills

Medical terminology
Medical billing/insurance
Medical coding
Written/oral communication
Public relations

Education

Associate's degree

Tools

Epic
Word
Outlook

Job description

Thisiscny is seeking an Administrative Specialist to provide clinical administrative support in the ambulatory area. You will help prepare monthly activity reports, address referral/authorization issues, and assist with patient registration and co-pays.

You will manage EPIC Referral WorkQueues, answer calls, and coordinate with patients and insurers to gather necessary documentation and signatures. The role requires excellent communication and organizational skills.

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