Outpatient Administrative Specialist

Upstate; City of Syracuse (NY); On-site; USD 50,000 - 65,000; Full time

Job summary

Upstate is seeking an Outpatient Administrative Specialist to provide clinical administrative support in the ambulatory setting. You will compile monthly activity data and assist with referrals, authorizations, and ABN documentation as needed.

You will help with patient check-in/out, verify demographics and insurance information, collect co-pays, and serve as a resource for providers and staff on non-routine billing and scheduling issues within the EPIC system.

Qualifications

• Associate's degree and two years of patient financial/insurance services experience in a healthcare setting or equivalent.
• Knowledge of medical terminology, billing/insurance, and medical coding; strong written and verbal communication.
• Computer skills and keyboarding are necessary; ability to maintain good public relations with patients and staff.

Responsibilities

• Provide clinical administrative support in the ambulatory area and assist with monthly activity data compilation.
• Serve as a resource for providers and staff on referrals and authorization processes; manage EPIC Referral WQs.
• Handle patient check-in/check-out, registration, demographics, insurance verification, and collect co-pays.
• Process ABN and Waiver signatures; obtain authorizations and manage denial processes as needed.
• Perform additional admin duties as assigned to support clinic operations.

Skills

Medical terminology

Medical billing

Medical coding

Communication skills

Computer skills

Keyboarding

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 monthly report of activities by compiling statistical data relative to clinic services as needed or requested. Serves as a subject matter expert and resource for providers and staff, addressing all non-routine issues and concerns related to the referral and authorization process. 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:

Mon-Fri day shift

Message to Applicants:

Recruitment Office: Human Resources