Care Coordinator Auth Scheduling Specialist

Advocate Health and Hospitals Corporation • Wake Forest, NC

1d • Remote

About The Position

This is a full-time remote position within the WFBMG University Group Practice: WFBMC Main - Administration: Internal Medicine department. The Care Coordinator Auth Scheduling Specialist will be responsible for completing referrals for patients, coordinating with referring and receiving practices/departments, obtaining necessary authorizations, and directing patients to providers within their insurance plan. The role also involves reviewing benefits, educating patients on insurance coverage, coordinating and scheduling surgical procedures, diagnostic testing, or other services, reviewing schedules for accuracy, and following up on referrals to prevent care gaps.

Requirements

• High School Diploma or GED required.
• Computer experience required.
• Customer service experience required.

Nice To Haves

• Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred.
• Knowledge of medical records software preferred.

Responsibilities

• Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
• May coordinate and prepare financial estimates for patients.
• Obtains all authorizations needed.
• Directs patients to providers in their insurance plan.
• Reviews benefits and educates patient on insurance coverage.
• Coordinates and schedules surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers.
• Reviews schedules and confirms schedules are accurate and time is properly allocated.
• Follows up on all referrals to ensure no care gaps.

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED