Care Coordinator Auth Scheduling Specialist

American Addiction Centers

87d • $20 - $30

About The Position

The position is within the GCMG Gastroenterology and Hepatology department at Advocate Health, a full-time role requiring 40 hours per week, Monday to Friday from 8:00 AM to 4:30 PM. The primary responsibilities include completing referrals for patients, coordinating with referring and receiving practices, preparing financial estimates, obtaining necessary authorizations, directing patients to providers within their insurance plans, and educating patients on their insurance coverage. The role also involves scheduling surgical procedures and diagnostic testing, ensuring schedules are accurate, and following up on referrals to prevent care gaps.

Requirements

• High School Diploma or GED required.
• Computer experience required.
• Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred.
• Knowledge of medical records software preferred.
• Customer service experience required.

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 patients 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
• Number of Employees: 11-50 employees