GI Associates
Overview
At GI Associates we believe in striving for the best outcomes for our patients, employees, and community.
GI Associates is looking for motivated people to join our growing independent gastroenterology practice. Our nationally recognized physicians and dedicated team are patient-focused and provide compassionate, collaborative care to patients across Southeast Wisconsin.
Benefits GI Associates provides an excellent work-life balance and amazing benefits package including:
No weekends
No Holidays
PTO & paid anniversary day
7% GI Associates retirement contribution & 401(k) plan
Medical, dental & vision insurance
Flexible spending plan
Short- & long-term disability
Basic & supplemental life insurance
Position Summary A Medical Authorization Specialist
is responsible for determining insurance eligibility/benefits and ensuring pre-certification/referral requirements are met for both the facility and professional services.
Position Responsibilities
Monitoring and distributing faxes received internally for the department
Works with patients to assist them with insurance requirements and coverages for care
Answers incoming calls to a phone queue in a timely, accurate and professional manner
Communicates with outside provider offices, hospital staff, and independent facilities to obtain accurate insurance, authorizations and referrals
Verifies eligibility and benefit levels to ensure adequate coverage at correct site of service
Obtains pre-certification, authorization, and referral approval for required services for both the facility and professional services
Ensures timely and accurate insurance authorizations/referrals are in place prior to services being rendered
Provides detailed documentation and communication with both payors and clinicians to obtain prior authorizations
Obtains and submits clinical information to support medical necessity
Coordinates peer-to-peer reviews, when required by payors
Completes accurate documentation in our practice management system
Assist with denials related to pre-certification as needed
Respond to internal/external emails and inquiries in a timely, accurate and complete manner
Minimum Qualifications
Works independently and efficiently, being able to prioritize the workflow
Attention to detail
Familiar with ICD-10 and CPT codes
Familiar with Medical Terminology
Communicates effectively and professionally
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GI Associates is looking for motivated people to join our growing independent gastroenterology practice. Our nationally recognized physicians and dedicated team are patient-focused and provide compassionate, collaborative care to patients across Southeast Wisconsin.
Benefits GI Associates provides an excellent work-life balance and amazing benefits package including:
No weekends
No Holidays
PTO & paid anniversary day
7% GI Associates retirement contribution & 401(k) plan
Medical, dental & vision insurance
Flexible spending plan
Short- & long-term disability
Basic & supplemental life insurance
Position Summary A Medical Authorization Specialist
is responsible for determining insurance eligibility/benefits and ensuring pre-certification/referral requirements are met for both the facility and professional services.
Position Responsibilities
Monitoring and distributing faxes received internally for the department
Works with patients to assist them with insurance requirements and coverages for care
Answers incoming calls to a phone queue in a timely, accurate and professional manner
Communicates with outside provider offices, hospital staff, and independent facilities to obtain accurate insurance, authorizations and referrals
Verifies eligibility and benefit levels to ensure adequate coverage at correct site of service
Obtains pre-certification, authorization, and referral approval for required services for both the facility and professional services
Ensures timely and accurate insurance authorizations/referrals are in place prior to services being rendered
Provides detailed documentation and communication with both payors and clinicians to obtain prior authorizations
Obtains and submits clinical information to support medical necessity
Coordinates peer-to-peer reviews, when required by payors
Completes accurate documentation in our practice management system
Assist with denials related to pre-certification as needed
Respond to internal/external emails and inquiries in a timely, accurate and complete manner
Minimum Qualifications
Works independently and efficiently, being able to prioritize the workflow
Attention to detail
Familiar with ICD-10 and CPT codes
Familiar with Medical Terminology
Communicates effectively and professionally
#J-18808-Ljbffr