Authorization and Benefits Coordinator

5 days ago

West Palm Beach, Florida, United States Gastro Health Full time
About Gastro Health

Gastro Health is a leading gastroenterology multi-specialty group with over 130+ locations throughout the United States. Our team is composed of top-notch gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals.

Job Summary

We are seeking a highly skilled Benefits and Authorization Specialist to join our team. As a key member of our team, you will be responsible for ensuring seamless authorization and benefits processes for our patients.

Key Responsibilities
  • Authorization and Benefits Coordination: Utilize the Managed Care Work list to track receipt, delays, and completion of requests, prioritizing requests and obtaining authorizations at minimum one week prior to scheduled dates of service.
  • Eligibility and Authorization Reports: Work Eligibility and Authorization reports for the Diagnostic Center, tracking activity to identify carrier trends and making recommendations to the department director.
  • Denial Reports and Patient Accounts: Review and work Denial Reports for the Diagnostic Center, updating patient accounts with correct insurance information.
  • Carrier Trend Analysis: Independently assess carrier trends, communicating information to appropriate personnel and making recommendations for process improvements.
  • Communication and Customer Service: Respond to patient inquiries in a courteous and professional manner, maintaining a positive and cooperative working relationship with internal and external customers.
  • Reporting and Project Management: Complete assigned reports and projects within deadlines, staying informed of current insurance carrier requirements regarding pre-authorization of service.
Requirements
  • Education: High school diploma or GED.
  • Experience: Minimum of 2 years experience in healthcare insurance area.
  • Skills: Display customer service skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills.
  • Software Proficiency: Proficient in Microsoft Office and EMR software.
  • Language: Proficient in English language, both written and verbal.
  • Confidentiality: Committed to the protection of confidential information, records, and reports.
  • Physical Demands: Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time.
Benefits
  • 401(k) Retirement Plan: Employer Safe Harbor Non-Elective Contributions of 3%.
  • Discretionary Profit-Sharing Contributions: Up to 4%.
  • Health Insurance: Employer contributions to HSAs and HRAs.
  • Dental and Vision Insurance: Employer contributions.
  • Flexible Spending Accounts: Employer contributions.
  • Voluntary Life Insurance: Employer contributions.
  • Voluntary Disability Insurance: Employer contributions.
  • Accident Insurance: Employer contributions.
  • Hospital Indemnity Insurance: Employer contributions.
  • Critical Illness Insurance: Employer contributions.
  • Identity Theft Insurance: Employer contributions.
  • Legal Insurance: Employer contributions.
  • Pet Insurance: Employer contributions.
  • Paid Time Off: Employer contributions.
  • Discounts at Local Fitness Clubs: Employer contributions.
  • Discounts at AT&T: Employer contributions.

Gastro Health is an Equal Opportunity Employer, committed to diversity and inclusion. 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.

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