Outpatient Administrative Specialist

Responsibilities

• 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.

Schedule

Work Days Mon-Friday days