What are the responsibilities and job description for the CLERICAL SPECLST II position at SUNY Upstate Medical University?
Job Summary:
Will perform standardized patient registration, discharge and phones calls to include verification of demographic, insurance and/or financial information; generate routine forms and other documentation. Will also work to advise patients on insurance carrier requirements including services not covered, coordinates incoming and outgoing referrals and
manages denial processes. May assist in preparation of monthly reporting activities. Serves as a resource for providers and staff relative
to the referrals and authorization process. Coordination of referrals, incoming and scheduling. Maintains attending, fellows and ancillary
schedule for accuracy, blocks as appropriate, ensure schedules are full and templates are rolled out as per the division chiefs guidelines.
Works closely with the academic secretaries. Daily distribution of open encounters to provider to close. Works multiple EPIC work ques and EPIC in basket messages daily.
Minimum Qualifications:
Associates degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Prior working experience in ambulatory patient care administrative functions including patient registration and check out, 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. Working knowledge of medical terminology, familiarity with medical coding, and excellent written/oral communication skills required.
Preferred Qualifications:
Associates Degree and two years relevant patient financial/insurance services experience or equivalent combination of education and experience required in a health care setting. Knowledge of medical terminology, familiarity with medical coding and excellent written/oral
communication skills required. Knowledge of medical authorizations, billing requirements and the ability to recognize insurance fraud/abuse is strongly preferred. Computer skills and keyboarding are necessary. Ability to maintain good public relations with patients, visitors, co-workers and other individuals. Ability to multitasks in a busy fast pace environment. Provide overall patient care and administrative support to Upstate Dermatology, and to Upstate Rheumatology, Upstate Nephrology & Upstate Pulmonary where needed. Reports directly to the Team Leader and indirectly to the Nurse Manager.
Work Days:
Mon-Friday Days with rotating Tuesdays 10:00am- 6:30pm
Message to Applicants:
Recruitment Office: Human Resources
We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or disability or other protected classes under State and Federal law.
