Care Coordinator Auth Scheduling Specialist.
Advocate Health and Hospitals Corporation•Wake Forest, NC
•Onsite
About The Position
This full-time position is responsible for completing referrals for patients, coordinating with referring and receiving practices/departments, and obtaining necessary authorizations. The specialist will also prepare financial estimates, direct patients to providers within their insurance plan, review benefits, and educate patients on their insurance coverage. Additionally, they will coordinate and schedule surgical procedures, diagnostic testing, or other services, review schedules for accuracy, and follow up on referrals to prevent care gaps.
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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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
