Care Coordinator Auth Scheduling Specialist
About The Position
This role is for a Care Coordinator Auth Scheduling Specialist within the Med Onc: University department at Carolinas Medical Center. It is a full-time, benefits-eligible position with 40 hours per week, typically Monday-Friday from 0800-1630, with a hybrid remote/onsite schedule to be determined after onboarding. The specialist will complete patient referrals, coordinate with practices, prepare financial estimates, obtain necessary authorizations, direct patients to in-network providers, review and educate patients on insurance benefits, and schedule surgical procedures, diagnostic testing, or other services across various departments. The role also involves reviewing and confirming schedule accuracy and following up on referrals to prevent care gaps. Advocate Health, the employer, is the third-largest nonprofit, integrated health system in the United States, formed from Advocate Aurora Health and Atrium Health. Headquartered in Charlotte, North Carolina, it serves nearly 6 million patients, employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and is a national leader in clinical innovation, health outcomes, consumer experience, and value-based 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
- 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
Mid Level
Education Level
High school or GED
Number of Employees
1-10 employees
