Southlake 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.
Thanks!