Authorization Procedure Coordinator

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. 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.

• 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.

• 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., eClinical
    
    Works) 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.

• 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.

• Be part of a dynamic, patient-focused team in a high-volume practice.
• Opportunity to work with experienced gastroenterology professionals.
• Competitive compensation and benefits.

Submit your resume and a cover letter detailing your experience and qualifications.