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 plan, and reviews and explains insurance benefits and coverage. The specialist 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 role may also coordinate and prepare patient financial estimates. This is a full-time position in the Mercy Wound Care department, scheduled Monday through Friday from 8:00 a.m. to 4:30 p.m., for 40 hours per week. The position is based in a fast-paced office environment and requires extended sitting, 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.
  • Understanding of medical necessity policies.
  • Knowledge of medical records software.

Responsibilities

  • Complete patient referrals and coordinate with referring and receiving practices and departments.
  • Coordinate and prepare financial estimates for patients, as needed.
  • Obtain all required authorizations.
  • Direct patients to providers within their insurance plan.
  • Review insurance benefits and educate patients about coverage.
  • Coordinate and schedule surgical procedures, diagnostic testing, and other services with internal and ancillary providers.
  • Review schedules to ensure accuracy and appropriate time allocation.
  • 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.
  • Competitive compensation, with potential premium pay and incentive pay for select positions.
  • Opportunity for annual performance-based increases.
  • Career development programs.
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