A Clerical Specialist 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.

Associates degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting; OR equivalent combination of education and experience. 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.

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. Knowledge of medical authorizations,
billing requirements and the ability to recognize insurance fraud/abuse is strongly preferred. Ability to multitasks in a busy fast pace environment.

Monday - Friday, Days