Gastro Health · 4 hours ago
Authorization and Benefits Coordinator
Framingham, MA
Full-time
Onsite
Entry, Mid Level
2+ years expGastro Health is one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. They are seeking a full-time Authorization and Benefits Coordinator to manage authorizations and benefits tracking, ensuring timely service for patients and maintaining communication with insurance carriers.
Health CareMedical
Responsibilities
Utilizes the Managed Care Work list to track receipt, delays and completion of requests, to prioritize requests and obtain authorizations at minimum one week prior to scheduled date of service, as possible
Works Eligibility and Authorization reports for the Diagnostic Center
Tracks activity to identify carrier trends
Makes recommendations regarding trends to the department director
Reviews and works Denial Reports for the Diagnostic Center
Updates Diagnostic Center patient accounts with the correct insurance information
Independently assesses carrier trends, on a proactive basis and communicates information to appropriate personnel
Facilitates communication among parties impacted by coding related matters to produce a timely and satisfactory solution
Stays informed of insurance requirements and industry related news/policy changes as relate to coding
Responds to questions from patients in a courteous and professional manner
Completes assigned reports and/or projects within deadlines
Maintains a positive & cooperative working relationship with internal and external customers
Communicates in a professional manner with staff in medical offices and co-workers
Stays informed of current insurance carrier requirements regarding pre-authorization of service
Follow established corporate and department-specific policies and procedures
Perform other duties as may be assigned cheerfully and willingly
Exposed to frequent and constant interruptions in daily functions/schedule
Must be available to customers and staff throughout the day
Required to work extended hours to meet department needs
Qualification
Required
Minimum education requirement is high school diploma or GED
Minimum of 2 years experience in healthcare insurance area
Display customer services skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills
Be able to work hours necessary to accurately and thoroughly perform duties
Proficient in use of the following computer software: Microsoft office, EMR
Proficient in use of English language both in written and verbal communication
Must be committed to the protection of confidential information, records and/or reports
Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time
Preferred
Bilingual / Spanish is a plus
Benefits
401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Pet insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Tickets at Work that provides discounts on concerts, travel, movies, and more
Company
Gastro Health
Gastro Health is a medical practice company that provides gastroenterology adult and pediatrics services.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$100MKey Investors
PenfundOMERS Private EquityAudax Private Equity
2021-07-01Private Equity· $10M
2021-07-01Debt Financing· $90M
2021-05-19Secondary Market
Leadership Team
Lawrence Freni
Chief Financial Officer
Alan Oliver
Chief Operating Officer
Recent News
2024-04-07
Company data provided by crunchbase