Outpatient Administrative Specialist

Job Summary

The Outpatient Administrative Specialist will provide clinical administrative support to the assigned area. Serves as a resource for providers and staff relative to the referral and authorization processes. Assists with patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation. Manage the EPIC Referral WQs. Answers phone, prioritizes incoming mail, faxes and correspondence.

Obtains insurance authorizations, referrals, and manages denial processes in an accurate and efficient manner. Works directly with patients on insurance and other financial aspects related to care at a level of complexity unique to GCSN/BBHU and, after training on our EI and CPSE services, works with clinical staff on billing to school and county-based programs. Serves as a subject matter expert for the referral and authorization processes while also managing the denial process with patients and clinical staff to determine which assessments are in line with the treatment plan and payable/billable.

Provides caring assistance to patients and visitors that may include registration activities, verifying and entering insurance and other financial information. Cross train others on this and other duties and supervise when duties have been delegated. Accepts assignments to other areas and performs additional administrative support duties as assigned.

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 and excellent written/oral communications skills required. Ability to multi-task all support roles in a high-volume setting. Excellent customer service and strong computer skills necessary.

Working knowledge of computer systems such as EPIC, Word, Excel, etc. preferred.

M-F Days

Recruitment Office:
Human Resources