Care Coordinator Auth Scheduling Specialist
About The Position
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. It provides care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin. Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. The Care Coordinator Auth Scheduling Specialist completes referrals for patients, coordinates with referring and receiving practices, obtains all necessary authorizations, directs patients to in-network providers, reviews benefits, educates patients on insurance coverage, and coordinates and schedules surgical procedures, diagnostic testing, or other services. This role also involves reviewing and confirming schedules for accuracy and proper time allocation, and following up on all referrals to ensure no 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
- Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1-10 employees
