Allied Digestive Health
Job Description:
Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report. We are excited to announce that we are looking for a Full-Time, Authorizations Coordinator at our Central Business Office in West Long Branch, NJ About the Role:The Authorizations Coordinator plays a critical role in the Health Care Services industry by ensuring that patients receive the necessary authorizations for their medical services in a timely manner. This position is responsible for verifying insurance coverage and obtaining pre-authorization for procedures, tests, and treatments, which directly impacts patient care and satisfaction. The coordinator will work closely with healthcare providers, insurance companies, and patients to facilitate the authorization process, ensuring compliance with all regulations and policies. By effectively managing authorizations, the coordinator helps to minimize delays in patient care and supports the overall efficiency of healthcare operations. Ultimately, this role contributes to the seamless delivery of healthcare services, enhancing the patient experience and supporting the organization's mission to provide high-quality care.Minimum Qualifications:High school diploma or equivalentAt least 2 years of experience in a healthcare setting, with a focus on authorizations or insurance verification.Preferred Qualifications:Certification in medical billing and coding or a related credential Experience with electronic health record (EHR) systems and authorization software.Experience with athenaOne a plusKnowledge of medical terminology and insurance processesResponsibilities:Review and process authorization requests for medical services, ensuring all necessary documentation is complete and accurate.Communicate with healthcare providers, insurance companies, and patients to gather information and resolve any issues related to authorizations.Maintain detailed records of authorization requests and outcomes, tracking trends and identifying areas for improvement.Stay updated on insurance policies, regulations, and changes in healthcare laws to ensure compliance in the authorization process.Provide support and training to staff regarding authorization procedures and best practices.Skills:The required skills for this role include strong attention to detail, which is essential for accurately processing authorization requests and ensuring compliance with regulations. Excellent communication skills are necessary to effectively liaise with healthcare providers, insurance companies, and patients, facilitating a smooth authorization process. Organizational skills are crucial for managing multiple requests simultaneously and maintaining accurate records. Familiarity with medical terminology and insurance policies enhances the coordinator's ability to navigate complex authorization scenarios. Preferred skills, such as proficiency in EHR systems, allow for efficient documentation and tracking of authorizations, ultimately improving workflow and patient care. We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. Job Type: Full-Time
Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report. We are excited to announce that we are looking for a Full-Time, Authorizations Coordinator at our Central Business Office in West Long Branch, NJ About the Role:The Authorizations Coordinator plays a critical role in the Health Care Services industry by ensuring that patients receive the necessary authorizations for their medical services in a timely manner. This position is responsible for verifying insurance coverage and obtaining pre-authorization for procedures, tests, and treatments, which directly impacts patient care and satisfaction. The coordinator will work closely with healthcare providers, insurance companies, and patients to facilitate the authorization process, ensuring compliance with all regulations and policies. By effectively managing authorizations, the coordinator helps to minimize delays in patient care and supports the overall efficiency of healthcare operations. Ultimately, this role contributes to the seamless delivery of healthcare services, enhancing the patient experience and supporting the organization's mission to provide high-quality care.Minimum Qualifications:High school diploma or equivalentAt least 2 years of experience in a healthcare setting, with a focus on authorizations or insurance verification.Preferred Qualifications:Certification in medical billing and coding or a related credential Experience with electronic health record (EHR) systems and authorization software.Experience with athenaOne a plusKnowledge of medical terminology and insurance processesResponsibilities:Review and process authorization requests for medical services, ensuring all necessary documentation is complete and accurate.Communicate with healthcare providers, insurance companies, and patients to gather information and resolve any issues related to authorizations.Maintain detailed records of authorization requests and outcomes, tracking trends and identifying areas for improvement.Stay updated on insurance policies, regulations, and changes in healthcare laws to ensure compliance in the authorization process.Provide support and training to staff regarding authorization procedures and best practices.Skills:The required skills for this role include strong attention to detail, which is essential for accurately processing authorization requests and ensuring compliance with regulations. Excellent communication skills are necessary to effectively liaise with healthcare providers, insurance companies, and patients, facilitating a smooth authorization process. Organizational skills are crucial for managing multiple requests simultaneously and maintaining accurate records. Familiarity with medical terminology and insurance policies enhances the coordinator's ability to navigate complex authorization scenarios. Preferred skills, such as proficiency in EHR systems, allow for efficient documentation and tracking of authorizations, ultimately improving workflow and patient care. We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. Job Type: Full-Time