Care Coordinator Auth Scheduling Specialist
About The Position
The Care Coordinator Auth Scheduling Specialist completes patient referrals and coordinates with referring and receiving practices or departments. The role obtains required authorizations, directs patients to providers within their insurance plan, and reviews benefits while educating patients about insurance coverage. It may also involve preparing financial estimates. 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 care gaps. This is a full-time position scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m., for 40 hours per week.
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 or departments.
- Coordinate and prepare financial estimates for patients when needed.
- Obtain all required authorizations.
- Direct patients to providers included in their insurance plan.
- Review benefits and educate patients about their insurance coverage.
- Coordinate and schedule surgical procedures, diagnostic testing, and other services with internal and ancillary providers.
- Review schedules to confirm accuracy and proper 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.
- Other financial wellness programs.
- Educational Assistance Program.
- Premium pay, such as shift and on-call pay, based on the teammate's job.
- Incentive pay for select positions.
- Opportunity for annual increases based on performance.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
