Outpatient Administrative Specialist

Upstate Medical University; City of Syracuse (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Upstate Medical University is seeking an Outpatient Administrative Specialist to provide clinical administrative support in Syracuse, NY. The role involves assisting with patient check-in, managing insurance authorizations, and compiling monthly activity reports. The ideal candidate will possess an Associate's degree and relevant experience in a healthcare setting.

Proficient communication skills and computer knowledge, particularly in EPIC, Word, and Outlook, are essential. This position requires a Monday-Friday day shift commitment.

Qualifications

• Two years of relevant patient financial/insurance services experience in a healthcare setting is required.
• Working knowledge of medical terminology and medical coding.
• Computer skills and ability to maintain good public relations with patients and co-workers.

Responsibilities

• Provide clinical administrative support in the ambulatory area.
• Assist with patient check-in/check-out procedures.
• Manage insurance authorizations, referrals, and denial processes efficiently.

Skills

Medical terminology

Medical billing/insurance requirements

Excellent written/oral communication

Public relations

Education

Associate's degree

Tools

EPIC

Microsoft Word

Microsoft Outlook

Job description

Job Summary

The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. May assist in the preparation of a monthly report of activities by compiling statistical data relative to clinic services as needed or requested. Serves as a resource for providers and staff relative to the referral and authorization processes. Assist with patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance, and/or financial information; generates routine forms and other documentation. Manage the EPIC Referral WQs. Answers phone, prioritizes incoming mail, faxes, and correspondence. 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. 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, medical billing/insurance requirements, 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

Working knowledge of computer systems such as Epic, Word and Outlook preferred.

Work Days

Monday-Friday day shift

Contact

Recruitment Office: Human Resources