Gastroenterology Care Coordinator Auth Scheduling Specialist (In-Office)

Advocate Health and Hospitals Corporation•Winston Salem, NC

2d•Onsite

About The Position

This role is responsible for completing referrals for patients, coordinating with referring and receiving practices/departments, and obtaining necessary authorizations. The specialist will also educate patients on their insurance coverage, coordinate and schedule procedures and testing, review and confirm schedules for accuracy, and follow up on referrals to prevent care gaps. This is an in-office, full-time position.

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

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
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