Care Coordinator Authorization Scheduling Specialist- GYN Oncology

Advocate Health and Hospitals Corporation • Macon, GA

2d • Onsite

About The Position

This full-time position is responsible for completing referrals for patients, coordinating with referring and receiving practices/departments, and potentially preparing financial estimates. The specialist will obtain necessary authorizations, direct patients to in-network providers, review benefits, and educate patients on their insurance coverage. Key duties include coordinating and scheduling surgical procedures, diagnostic testing, and other services, reviewing and confirming schedules for accuracy and proper time allocation, and following up on all referrals to prevent care gaps. The role operates in a fast-paced office environment.

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: Mid Level
• Education Level: High school or GED