Outpatient Administrative Specialist

SUNY Upstate Medical University • Syracuse, NY

119d

About The Position

The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. This role may assist in the preparation of monthly reports of activities by compiling statistical data relative to clinic services as needed or requested. The specialist serves as a resource for providers and staff regarding the referral and authorization processes. Responsibilities include assisting with patient check-in and check-out procedures, including registration activities such as entering and/or verifying demographic, insurance, and/or financial information; generating routine forms and other documentation; and managing the EPIC Referral Workqueues. Additionally, the specialist will answer phones, prioritize incoming mail, faxes, and correspondence, and work with patients on insurance carrier requirements, including services not covered, while obtaining necessary documentation and collecting patient co-pays. The role requires an understanding of the need for ABN's and Waiver of Liability patient signatures, obtaining insurance authorizations, referrals, and managing denial processes accurately and efficiently. The specialist may also accept assignments to other areas and perform additional administrative support duties as assigned.

Requirements

• 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, and familiarity with medical coding.
• Excellent written and oral communication skills required.
• Computer skills and keyboarding are necessary.
• Ability to maintain good public relations with patients, visitors, co-workers, and other individuals.

Nice To Haves

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

Responsibilities

• Provide clinical administrative support to the assigned ambulatory area.
• Assist in the preparation of monthly reports by compiling statistical data.
• Serve as a resource for providers and staff regarding referral and authorization processes.
• Assist with patient check-in and check-out procedures, including registration activities.
• Generate routine forms and other documentation.
• Manage the EPIC Referral Workqueues.
• Answer phones and prioritize incoming mail, faxes, and correspondence.
• Advise patients on insurance carrier requirements and collect patient co-pays.
• Obtain insurance authorizations, referrals, and manage denial processes.
• Perform additional administrative support duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Associate degree