Job Summary:

Will perform standardized patient registration, discharge and phone call to include verification of demographics, 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 schedules for accuracy, blocks as appropriate, ensure schedules are full and templates are rolled out as per the division chiefs' guidelines. The Outpatient Administrative Specialist 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. Provide overall patient care and administrative support to Upstate Pulmonary, and to Upstate Rheumatology & Upstate Nephrology where needed. Reports directly to the Team Leader and indirectly to the Nurse Manager.

Minimum Qualifications:

Associate's degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Working knowledge of medical terminology, 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:

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, sleep studies, billing requirements and the ability to recognize insurance fraud/abuse is strongly preferred. Ability to multitask in a busy fast pace environment.

Work Days:

Monday - Friday; Rotating shift between the hours of 0730-1730; No weekend or holidays.

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.