Outpatient Administrative Specialist
Job Summary : The Outpatient Administrative Specialist will perform standardized patient check-in and check-out procedures such as entering and verifying demographic, insurance, and financial information, and generating routine forms and other documentation. The role also includes the completion of FMLA and Disability forms as needed, processing incoming/outgoing patient appointment referrals for all providers, and scheduling complex multiple provider appointments. Additionally, the specialist will provide administrative support to ambulatory patient care functions, collect patient co-pays, manage the denial process, and assist with other Front Desk tasks. The specialist will work with and advise patients on insurance carrier requirements, including services not covered, and obtain necessary documentation. Understanding the need for ABN's and Waiver of Liability is also essential. The Outpatient Administrative Specialist will answer calls and obtain insurance authorizations as needed, prioritize incoming mail, faxes, and correspondence, and accept assignments to other areas as needed.
Minimum Qualifications : 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. A working knowledge of medical terminology, familiarity with medical coding, and excellent written/oral communication skills are required. The ability to multitask all support roles in a high-volume setting, along with excellent phone and in-person customer service, strong computer skills, and keyboarding proficiency are necessary.
Preferred Qualifications : Working knowledge of computer systems such as Epic, Word, Groupwise, etc. , and understanding of insurances and referrals is preferred.
Work Days : M-F days
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