Levine Children's Specialty Center-Care Coordinator Auth Specialis
About The Position
The Care Coordinator Authorization Specialist is responsible for managing patient referrals and coordinating with various practices and departments. This role involves obtaining necessary authorizations, guiding patients to in-network providers, and educating them on their insurance coverage and benefits. The specialist also coordinates and schedules surgical procedures, diagnostic testing, and other services, ensuring schedules are accurate and time is properly allocated. A key aspect of the role is following up on all 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
- Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- 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
Number of Employees
1-10 employees
