What are the responsibilities and job description for the Outpatient Administrative Specialist - Ophthalmology position at SUNY Upstate Medical University?
Job Summary:
The Outpatient Administrative Specialist will process incoming/outgoing patient appointment referrals for all providers. Obtain all required insurance authorizations. Work with/advise patients on insurance carrier requirements including services not covered and obtain documentation. Manage denial process. Assist with standardized patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generating routine forms and other documentation. Assist with Front Desk tasks including collecting patient co-pays. Provide administrative support to ambulatory patient care functions. Answers telephones. Prioritizes incoming mail, faxes and correspondence. Accepts assignments to other areas as needed.
Minimum Qualifications:
Associate's degree and two (2) years of relevant patient financial/insurance 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.
Preferred Qualifications:
Working knowledge of computer systems such as Epic, Word, Outlook, etc. preferred. 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. Knowledge of medical authorizations, billing requirements and the ability to recognize insurance fraud/abuse is strongly preferred. Ability to multitask in a busy, fast paced environment.
Work Days:
Monday - Friday varying hours between 7:30 a.m. - 5:30 p.m.
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.
