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.

Gastroenterology Associates of Wyoming's mission is to provide the highest-quality GI care available. We have trained specialists who travel across Wyoming to bring exceptional care to a facility near you. Our fully trained, board-certified gastroenterologists are here to help. Recent studies have concluded that a fully trained gastroenterologist is more likely to detect adenomas (precancerous lesions) and remove them before they turn into cancer. Studies also show that they are much more likely to adhere to the frequency for follow-up colonoscopies stated by national guidelines, and much less likely to bring patients back too soon for follow-up procedures. By asking a few important questions, you can help ensure that you get the most accurate results and have the best experience.

Open Positions

Peak Gastroenterology Associates is the fastest-growing and largest gastroenterology practice in all of southern Colorado. We serve patients from all over the state. The Peak Gastro team is made up of many physicians, administrators, nurses, medical assistants, technicians, schedulers, receptionists, billers, and other support staff. Our entire team strives to deliver an unmatched experience.

Open Positions

Reddy GI Associates serves residents and visitors of Chandler, Mesa, Gilbert, Tempe, and other communities by providing person-centric gastrointestinal care. Patients notice that one of the things that sets us apart is the importance each staff member plays in their care. There’s a reason that many members of our team have remained with us for so many years – they are dedicated to these patients and do whatever they can to provide a healing and stress-free environment.

In digestive health, many diagnoses share numerous symptoms. Reddy GI providers work in tandem with our patients to evaluate their conditions through their history, current symptoms, and testing. Once a diagnosis is made, we educate patients and walk them through treatment options.

Open Positions

GI Associates and PEAK Gastroenterology Associates are preferred partners of Gastro Care Partners

Prior Authorization Coordinator (Temporary)

Remote

Full Time

Gastro Care Partners

Experienced

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. They work closely with carriers and staff to review, research and complete authorization appeals, rectify rejected claims, and notifying patients, procedure schedulers, and the billing department of any services requested and/or referred that are not authorized by insurance. The Prior Authorization Coordinator will 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 HIPPAA 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

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