Sr. Administrative Specialist
About the role
The 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.
Responsibilities
- Provide clinical administrative support to the assigned ambulatory area.
- Assist in the preparation of monthly report of activities by compiling statistical data relative to clinic services as needed or requested.
- Serve 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; generate routine forms and other documentation.
- Manage the EPIC Referral WQs.
- Answer phone, prioritize incoming mail, faxes and correspondence.
- Work with/advise patients on insurance carrier requirements including services not covered and obtain documentation, collect patient co-pays, etc.
- Apply understanding of the need for ABN's and Waiver of Liability patient signatures.
- Obtain insurance authorizations, referrals, and manage denial processes in an accurate and efficient manner.
- Accept assignments to other areas and perform additional administrative support duties as assigned.
Requirements
- Associate's degree and four (4) 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.
- Will consider prior working experience.