[Hiring] Prior Authorization Coordinator @Gastro Care Partners
Apr 03, 2025 - Gastro Care Partners is hiring a remote Prior Authorization Coordinator. đź’¸ Salary: unspecified. đź“ŤLocation: USA.
Role Description
This is a temporary position. The Prior Authorization Coordinator is responsible for verification of benefits and eligibility confirmation for patients, as well as obtaining all pre-authorizations and pre-certifications required for scheduled procedures as necessary and appropriate.
- Work closely with carriers and staff to review, research and complete authorization appeals
- Rectify rejected claims
- Notify patients, procedure schedulers, and the billing department of any services requested and/or referred that are not authorized by insurance
- Determine patient liability for the services to be provided and notify the patient of his/her financial responsibility
Essential Duties and Responsibilities:
- Obtain pre-authorization for all procedures and treatments being provided prior to patient appointments
- Verify patient insurance information is accurate and documented correctly
- Investigate, report and analyze patient CPT codes not originally noted in the CPTN at the onset of the pre-authorization process
- Review and resolve all reported authorization issues timely and effectively
- Communicate authorization, and any financial and benefit coverage with patients and providers timely and professionally
- Obtain appropriate documentation to validate the approval or denial of authorizations
- Maintain patient file security and confidentiality by adhering to appropriate confidentiality and HIPAA policies and guidelines
- Advise management of identified trends with payers in an effort to minimize problems
- Special projects as assigned
Qualifications
- High school diploma or equivalent
- Experience in a health care setting required
- ICD-10 and CPT knowledge required
- Proficiency in MS Office
- Comprehensive understanding of authorizations required
- Experience with EPIC gGastro preferred
Requirements
- Experienced
Company Description
Gastro Care Partners is the national partner for successful regional gastroenterology practices. We believe in the mantra “medicine is local.” Gastro Care Partners provides high-performing regional practices with the resources necessary to thrive in today’s dynamic healthcare landscape while maintaining their practices’ identities.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
đź’¸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 03, 2025
|
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
