Authorization Procedure Coordinator

South Lake Gastroenterology, INC; Town of Florida (NY); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Bonus based on performance

Paid time off

Training & development

Job summary

A leading gastroenterology practice in New York is seeking an Authorization / Procedure Coordinator. The ideal candidate will manage patient procedures and insurance authorizations, ensuring efficiency in a busy environment. With a focus on patient care, this role requires at least 2 years of medical scheduling or authorization experience. Join a dynamic team that offers competitive compensation and benefits.

Qualifications

• Minimum of 2 years experience in medical scheduling or insurance authorization, preferably in gastroenterology.
• Proficiency with electronic medical records and scheduling systems.
• Strong attention to detail and organizational skills.

Responsibilities

• Schedule procedures ensuring alignment with provider availability and patient preferences.
• Verify insurance benefits and obtain prior authorizations for procedures.
• Maintain accurate records in the EMR system.

Skills

Attention to detail

Organizational skills

Communication skills

Customer service abilities

Ability to multitask

Education

High school diploma or equivalent

Associates or Bachelors degree preferred

Tools

eClinicalWorks

Medical scheduling systems

Job description

Job Description

Benefits: bonus based on performance, paid time off, training & development.

Overview

Southlake Gastroenterology is looking for an Authorization / Procedure Coordinator to join our team ASAP. We are seeking a detail-oriented and organized Procedure/Authorization Coordinator to join 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; Associates or Bachelors 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.