Care Coordinator Auth Scheduling Specialist

American Addiction CentersRome, GA
Onsite

About The Position

This is a full-time position within the HC Specialty Center MOB 550 at 550 Redmond Rd - Pain Medicine: Med Mgmt. The role involves coordinating patient referrals, obtaining necessary authorizations, and scheduling various medical services. The specialist will also review patient benefits and educate them on their insurance coverage, ensuring no gaps in care.

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

  • Comprehensive suite of Total Rewards: benefits and well-being programs
  • Competitive compensation
  • Generous retirement offerings
  • Programs that invest in your career development
  • 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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