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Authorization and Benefits Coordinator

3 months ago

Fairfax, United States Gastro Health Full time
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