AH Musculoskeletal Institute Orthopedics and Sports Medicine Lincolnton - Care Coordinator Authorization Specialist
About The Position
The Care Coordinator Authorization Specialist is responsible for completing referrals for patients, coordinating with referring and receiving practices and/or departments, and potentially preparing financial estimates for patients. This role involves obtaining all necessary authorizations, directing patients to providers within their insurance plan, reviewing benefits, and educating patients on their insurance coverage. The specialist will also coordinate and schedule surgical procedures, diagnostic testing, or other services, review schedules for accuracy, and follow up on all referrals to ensure continuity of care.
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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
