Care Coordinator Auth Scheduling Specialist

Advocate Health and Hospitals Corporation • Huntersville, NC

2d • Hybrid

About The Position

The Care Coordinator Auth Scheduling Specialist is responsible for completing referrals for patients, coordinating with referring and receiving practices/departments, and obtaining necessary authorizations. This role may also involve preparing financial estimates for patients, directing them to appropriate providers within their insurance plan, reviewing benefits, and educating patients on their coverage. Additionally, the specialist will coordinate and schedule surgical procedures, diagnostic testing, or other services, review schedules for accuracy, and follow up on referrals to prevent care gaps. The position is full-time, Monday-Friday, 8 am-5 pm, and is remote with occasional clinic rounding required.

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

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED