Outpatient Administrative Specialist
About the role
The Outpatient Administrative Specialist will perform standardized patient check-in and check-out procedures, including entering and verifying demographic, insurance, and financial information, and generating routine forms and other documentation. This role also involves completion of FMLA and Disability forms as needed, processing incoming/outgoing patient appointment referrals, and scheduling complex multiple provider appointments.
The Outpatient Administrative Specialist will provide administrative support to ambulatory patient care functions, collect patient co-pays, manage denial processes, and assist with other Front Desk tasks. They will work with and advise patients on insurance carrier requirements, including services not covered, and obtain necessary documentation. This role also requires understanding the need for ABN's and Waiver of Liability, answering calls, obtaining insurance authorizations as needed, and prioritizing incoming mail, faxes, and correspondence.
Responsibilities
- Perform patient check-in and check-out procedures
- Complete FMLA and Disability forms as needed
- Process incoming/outgoing patient appointment referrals
- Schedule complex multiple provider appointments
- Provide administrative support to ambulatory patient care functions
- Collect patient co-pays and manage denial processes
- Assist with other Front Desk tasks
- Work with and advise patients on insurance carrier requirements
- Obtain insurance authorizations as needed
- Prioritize incoming mail, faxes, and correspondence
Requirements
- Associate's Degree and two years of relevant patient financial/insurance services experience in a healthcare-related setting, or equivalent combination of education and experience
- Working knowledge of medical terminology
- Familiarity with medical coding
- Excellent written and oral communication skills
- Ability to multitask in a high-volume setting
- Excellent phone and in-person customer service skills
- Strong computer skills and keyboarding
Preferred Qualifications
- Working knowledge of computer systems such as Epic, Word, Outlook, etc.
- Understanding of insurances and referrals
Schedule
Monday to Friday, days