Administrative Program Specialist I

Administrative Program Specialist I

Join a dynamic healthcare team in the Pacific Northwest region as an Administrative Program Specialist I. This role is essential in coordinating and managing administrative tasks related to patient care within a designated clinical service line. You will be the primary contact for patients, assisting with appointment scheduling, providing information about clinical services and insurance processes, submitting orders, processing referrals, and ensuring a seamless patient experience.

Key Responsibilities:

• Schedule appointments, consultations, and follow-ups for patients within assigned service lines.
• Collaborate with patient access teams, providers, technicians, and clinical staff to optimize scheduling and resource utilization.
• Coordinate durable medical equipment (DME) needs as required.
• Communicate appointment details and preparation instructions clearly to patients.
• Serve as an expert on patient access workflows, addressing inquiries and ensuring effective communication.
• Educate patients on procedures, policies, and expected outcomes.
• Maintain accurate and confidential patient records.
• Manage referrals and authorizations, including insurance verifications and pre-certifications.
• Monitor referral and authorization expirations and proactively seek extensions.
• Support department initiatives such as waitlist management and special projects.
• Collaborate with healthcare providers and staff to ensure coordinated patient care.
• Perform follow-ups with patients regarding test results, orders, and questions.
• Adhere to established policies, procedures, and regulatory requirements while delivering excellent service.

Education and Experience:

• High school diploma or equivalent required; Associate Degree preferred.
• Knowledge of medical terminology and familiarity with medical insurance processes including verification and authorization.
• Proficiency with electronic medical records (EMR) systems and office software applications.

Skills and Abilities:

• Strong organizational skills with the ability to prioritize and adapt to changing demands.
• Effective written and verbal communication skills tailored to diverse audiences.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) at an intermediate to advanced level.
• Ability to handle confidential information with discretion and maintain accurate documentation.
• Demonstrated teamwork, collaboration, and customer service skills in a fast-paced environment.
• Independent problem-solving, good judgment, and time management capabilities.

Work Environment: This full-time position involves 8-hour shifts within a 40-hour workweek. The role supports a mission-driven healthcare organization dedicated to providing compassionate care to the community.

Embrace the opportunity to work in a supportive environment that values ongoing learning, teamwork, and positive patient experiences in the beautiful Pacific Northwest region.

MLee Healthcare Staffing and Recruiting, Inc