Authorization / Procedure Coordinator

7 days ago

Clermont, United States South Lake Gastroenterology, INC Full time
Job DescriptionJob DescriptionSouthlake Gastroenterology is looking for an Authorization / Procedure Coordinator to join our team ASAP

Position Overview:
We are seeking a detail-oriented and organized Procedure/Authorization Coordinator to join our team at a busy gastroenterology practice. This role requires expertise in coordinating procedures and managing authorizations in a fast-paced environment, ensuring a seamless experience for patients and providers.

Key Responsibilities:

  • Procedure Coordination:

    • Schedule procedures for patients, ensuring alignment with provider availability, patient preferences, and insurance requirements.
    • Collaborate with surgical centers and ancillary facilities to confirm appointment details.
    • Provide patients with detailed pre- and post-procedure instructions, including preparation guidelines.
  • Authorization Management:

    • Verify insurance benefits and obtain prior authorizations for procedures, diagnostics, and treatments.
    • Ensure all authorizations are documented in the EMR and communicated to patients and providers promptly.
    • Track pending authorizations and follow up with insurance companies to prevent delays in care.
  • Documentation and Communication:

    • Maintain accurate records of authorizations, scheduling, and communications in the EMR system.
    • Communicate clearly with patients regarding authorization statuses, copays, and out-of-pocket expenses.
    • Liaise with physicians, NPs, and other staff to address issues or delays.
  • Administrative Duties:

    • Monitor and manage procedure and authorization-related metrics (e.g., approval rates, turnaround times).
    • Participate in quality improvement initiatives to streamline workflows.
    • Assist with patient education and resolve patient concerns related to procedures and authorizations.
Qualifications:

  • Education and Experience:

    • High school diploma or equivalent; Associate’s or Bachelor’s degree preferred.
    • Minimum of 2 years’ experience in medical scheduling or insurance authorization, preferably in gastroenterology or a high-volume practice.
  • Technical Skills:

    • Proficiency with electronic medical records (e.g., eClinicalWorks) and scheduling systems.
    • Familiarity with insurance policies, medical billing codes (e.g., CPT, ICD-10), and authorization requirements.
    • Ability to learn and use new technologies quickly.
  • Soft Skills:

    • Strong attention to detail and organizational skills.
    • Excellent communication and customer service abilities.
    • Ability to multitask and work under pressure in a fast-paced environment.
Preferred Knowledge:

  • Gastroenterology-specific procedures, including colonoscopies, endoscopies, and other diagnostic tests.
  • Familiarity with local insurance carriers and their requirements for authorizations.
  • Experience with referral management and patient education regarding pre-procedure preparation.
  • Understanding of HIPAA compliance and patient confidentiality.
Why Join Us?

  • Be part of a dynamic, patient-focused team in a high-volume practice.
  • Opportunity to work with experienced gastroenterology professionals.
  • Competitive compensation and benefits.
To Apply:
Submit your resume and a cover letter detailing your experience and qualifications.
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