Job Summary :
The Outpatient Administrative Specialist will perform standardized patient check-in and check-out procedures, scheduling new patient appointments including registration activities such as entering and / or verifying demographic, insurance and / or financial information;
generates routine forms and other documentation. Will also work with / advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc.
and tracks / accounts for monies collected on a daily basis. Use of computer systems such as Epic, Word, Outlook, Chartmaxx, etc.
is needed. Answers telephone, obtains insurance authorizations, referrals, and manages denial processes. Attends education on insurance changes and updates.
Prioritizes incoming mail, faxes and correspondence. Understands the need for ABN's and Waiver of Liability patient signatures.
Accepts assignments to other areas as needed. Assists in QI activities.
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, familiarity with medical coding, and excellent written / oral communication skills required.
Preferred Qualifications :
Prior working experience in ambulatory patient care administrative functions including obtaining referrals and insurance authorizations, managing EPIC referral work queues, communicating with outside agencies such as insurance carriers, billing companies and / or other support agencies preferred.
Work Days :
Monday-Friday, Days (Hours adjusted based on departmental needs)
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