Care Coordinator Auth Scheduling Specialist

Advocate Health and Hospitals Corporation • Rome, GA

8d • Onsite

About The Position

This is a full-time position working Monday-Friday from 8 AM to 5 PM. The Care Coordinator Auth Scheduling Specialist is responsible for completing referrals for patients, coordinating with referring and receiving practices/departments, preparing financial estimates, obtaining necessary authorizations, directing patients to providers within their insurance plan, reviewing benefits, educating patients on insurance coverage, and coordinating/scheduling surgical procedures, diagnostic testing, or other services. The role also involves reviewing schedules for accuracy and proper time allocation, and following 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

• 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