Authorization and Benefits Coordinator

About the role

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.

Responsibilities

• A great work/life balance
• No weekends or evenings – Monday thru Friday
• Paid holidays and paid time off
• Rapidly growing team with opportunities for advancement
• Competitive compensation
• Benefits package

Duties you will be responsible for:

• Utilizes the Managed Care Work list to track receipt, delays and completion of requests, to prioritize requests and obtain authorizations at minimum one week prior to scheduled date of service, as possible
• Works Eligibility and Authorization reports for the Diagnostic Center
• Tracks activity to identify carrier trends
• Makes recommendations regarding trends to the department director
• Reviews and works Denial Reports for the Diagnostic Center
• Updates Diagnostic Center patient accounts with the correct insurance information
• Independently assesses carrier trends, on a proactive basis and communicates information to appropriate personnel
• Facilitates communication among parties impacted by coding related matters to produce a timely and satisfactory solution
• Stays informed of insurance requirements and industry related news/policy changes as relate to coding
• Responds to questions from patients in a courteous and professional manner
• Completes assigned reports and/or projects within deadlines
• Maintains a positive & cooperative working relationship with internal and external customers
• Communicates in a professional manner with staff in medical offices and co-workers
• Stays informed of current insurance carrier requirements regarding pre-authorization of service
• Follow established corporate and department-specific policies and procedures
• Perform other duties as may be assigned cheerfully and willingly
• Exposed to frequent and constant interruptions in daily functions/schedule
• Must be available to customers and staff throughout the day
• Required to work extended hours to meet department needs

Requirements

• Minimum education requirement is high school diploma or GED
• Minimum of 2 years experience in healthcare insurance area
• Display customer services skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills
• Be able to work hours necessary to accurately and thoroughly perform duties
• Proficient in use of the following computer software: Microsoft office, EMR
• Proficient in use of English language both in written and verbal communication
• Must be committed to the protection of confidential information, records and/or reports
• Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time
• Bilingual / Spanish is a plus

Qualifications

• Minimum education requirement is high school diploma or GED
• Minimum of 2 years experience in healthcare insurance area
• Display customer services skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills
• Be able to work hours necessary to accurately and thoroughly perform duties
• Proficient in use of the following computer software: Microsoft office, EMR
• Proficient in use of English language both in written and verbal communication
• Must be committed to the protection of confidential information, records and/or reports
• Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time
• Bilingual / Spanish is a plus

Skills

• Customer services skills
• Strong interpersonal skills
• Closed attention to detail
• Excellent verbal and written communication skills
• Proficient in use of the following computer software: Microsoft office, EMR
• Proficient in use of English language both in written and verbal communication
• Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time
• Bilingual / Spanish is a plus

Benefits

• 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
• Medical
• Dental
• Vision
• Spending Accounts
• Life / AD&D
• Disability
• Accident
• Critical Illness
• Hospital Indemnity
• Legal
• Identity Theft
• Pet
• 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
• Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees

Pay

• Competitive compensation

Schedule

• No weekends or evenings – Monday thru Friday

Location

Interested in learning more? Click here to learn more about the location.

About the company

Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.

Equal Opportunity Employer

We thank you for your interest in joining our growing Gastro Health team!