Authorization and Benefits Coordinator

Gastro Health Is Seeking A Full-Time Authorization And Benefits Coordinator To Join Our Team!

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.

This Role Offers :

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

Minimum 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

We Offer A Comprehensive Benefits Package To Our Eligible Employees :

401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%

Discretionary profit-sharing contributions of up to 4%

Health insurance

Employer contributions to HSAs and HRAs

Dental insurance

Vision insurance

Flexible spending accounts

Voluntary life insurance

Voluntary disability insurance

Accident insurance

Hospital indemnity insurance

Critical illness insurance

Identity theft insurance

Legal insurance

Pet insurance

Paid time off

Discounts at local fitness clubs

Discounts at AT&T

Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.

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.

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

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