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State University of New York Upstate Medical University
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.
Associates Degree and two years of relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Working knowledge of medical terminology, familiarity with medical coding, and excellent written/oral communication skills required. Ability to multi task all support roles in a high volume setting. Excellent phone customer service and strong computer skills, and keyboarding are necessary
Working knowledge of computer systems such as Epic, Word, Outlook, etc. and understanding of insurances and referrals, preferred.
M - F Days
Recruitment Office: Human Resources