Job Description

Benefits:

Bonus based on performance Paid time off Training & development


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!