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 of related patient financial/insurance services experience OR an 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 pace environment.

Work Days:

M-F Days Hours based on Operation Need

Message to Applicants:

Recruitment Office: Human Resources

Executive Order:

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.