Care Coordinator Auth Scheduling Specialist
About The Position
The Care Coordinator Auth Scheduling Specialist completes patient referrals and coordinates with referring and receiving practices and departments. The role obtains required authorizations, directs patients to providers in their insurance plans, reviews benefits, and educates patients about coverage. It also coordinates and schedules surgical procedures, diagnostic testing, and other services with internal and ancillary providers; reviews schedules for accuracy and appropriate time allocation; and follows up on referrals to prevent gaps in care. The specialist may also coordinate and prepare financial estimates for patients. This is a full-time position, 40 hours per week, scheduled Monday through Friday from 8:00 AM to 5:00 PM. The role is based in a fast-paced office environment and requires sitting for long periods, bending, and lifting up to 10 pounds.
Requirements
- High school diploma or GED.
- Computer experience.
- Customer service experience.
Nice To Haves
- Thorough understanding of insurance coverage, including FSC, coverage, and plan types, and medical necessity policies.
- Knowledge of medical records software.
Responsibilities
- Complete patient referrals and coordinate with referring and receiving practices and/or departments.
- Coordinate and prepare financial estimates for patients, as needed.
- Obtain all required authorizations.
- Direct patients to providers within their insurance plan.
- Review benefits and educate patients about insurance coverage.
- Coordinate and schedule surgical procedures, diagnostic testing, and other services with internal and ancillary providers.
- Review schedules and confirm they are accurate and time is properly allocated.
- Follow up on referrals to ensure there are no gaps in care.
Benefits
- Paid Time Off programs.
- Medical, dental, vision, life, and short- and long-term disability benefits.
- Flexible Spending Accounts for eligible health care and dependent care expenses.
- Adoption assistance and paid parental leave.
- Defined contribution retirement plans with employer match and other financial wellness programs.
- Educational Assistance Program.
- Potential premium pay, incentive pay for select positions, and annual performance-based increases.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
