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Connecticut, LLC

Medical Authorization Specialist -Gastroenterology

Connecticut, LLC, Hamden, Connecticut, us, 06517

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Medical Authorization Specialist -Gastroenterology Job Category : Administrative Support for Medical Practices

Requisition Number : MEDIC001538

Posted : September 26, 2025 Position : Full-Time Location : On-site

Locations PACT and PACT MSO Surgical Specialists 2200 Whitney Ave Hamden, CT 06518, USA

By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.

COVID-19 and Flu Vaccine Considerations Masks are optional for employees, visitors, patients, vendors, etc. All employees are strongly encouraged and recommended to obtain the COVID-19 vaccination routinely. Proof of annual flu vaccination is required for all employees.

About PACT MSO PACT MSO is a Management Service Organization that supports numerous physician groups. We offer health benefits, paid time off, and a friendly working environment. We are a medium sized company with a family atmosphere.

Position Overview PACT MSO has a busy Gastroenterology office that is seeking a Medical Authorization Specialist. Medical Authorization Specialist work Monday through Friday and the position will be in Hamden. The hours range between 8:00am to 4:30pm for 8 hour shifts.

Essential Functions

Obtain authorizations or referrals

Analyzes information required to complete pre-authorizations with insurance carriers and service area contacts.

Accurate and pertinent clinical data and demographics is compiled and communicated to the patient’s insurance company in a timely and organized fashion.

Communicate information appropriately, accurately, and timely

Enters necessary authorizations into applicable database.

Retrieves medical records and critical information from referring provider(s) prior to patient procedures; ensures that all necessary laboratory, imaging test results, and medical records are obtained if needed.

Collaborates with other staff members to ensure appropriate insurance information is obtained.

Inform patients of their referral/authorization responsibilities.

Advocates for patients by helping them navigate through the system.

Develops tools to assess patient referral processes with respect to efficiency and customer service.

Patient demographic and additional identifying Enter patient information in EHR

Obtain pre-op clearances from provider offices

Cover front desk as needed

Prepare estimates for patient procedures

Schedule office visits

Skills and Knowledge

Understands authorization process and procedures

Demonstrates knowledge of EHR

Education and Experience

High School Diploma or equivalent

5+ years of experience obtaining authorizations

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Rights notice from the Department of Labor.

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