Outpatient Administrative Specialist

3 days ago


Syracuse, New York, United States SUNY Upstate Medical University Full time

Job Summary:

The Outpatient Administrative Specialist will be responsible for obtaining insurance referrals and authorizations for outpatient office visits, diagnostic tests, and lab work. This role will work closely with patients, families, providers, and insurance carriers to ensure all encounters are appropriate for maximum reimbursement, minimal denials, and adherence to carrier rules.

Key responsibilities include completing check-in and scheduling for clinicians in Epic, communicating authorization, benefits, and limitations to providers and patients, and working with providers to clarify patient documentation and coding requirements.

The ideal candidate will have an associate's degree and two years of relevant patient financial/insurance services experience in a healthcare setting. A working knowledge of medical terminology, familiarity with medical coding, and excellent written/oral communication skills are required.

Key Responsibilities:

  • Obtain insurance referrals and authorizations for outpatient office visits, diagnostic tests, and lab work
  • Work closely with patients, families, providers, and insurance carriers to ensure all encounters are appropriate for maximum reimbursement, minimal denials, and adherence to carrier rules
  • Complete check-in and scheduling for clinicians in Epic
  • Communicate authorization, benefits, and limitations to providers and patients
  • Work with providers to clarify patient documentation and coding requirements

Requirements:

  • Associate's degree and two years of relevant patient financial/insurance services experience in a healthcare setting
  • Working knowledge of medical terminology
  • Familiarity with medical coding
  • Excellent written/oral communication skills


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