Care Coordination & Authorization Specialist (Referrals)

Hugh Chatham Health, Inc.; Rock Hill (SC); Sur place; USD 29 000 - 43 000; Plein temps

Avantages offerts par ce poste

Paid Time Off

Health benefits

Flexible Spending Accounts

Retirement plan

Résumé du poste

Advocate Health in Rock Hill, SC seeks a referrals coordinator to manage patient referrals, coordinate with referring and receiving practices, and assist with insurance coordination across departments. The role emphasizes accuracy, timeliness, and clear communication to streamline patient care.

You will review benefits, obtain authorizations as needed, direct patients to appropriate providers in their insurance network, and schedule surgical procedures or diagnostic tests.

Qualifications

• High School Diploma or GED required.
• Computer experience required.

Responsabilités

• 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.

Connaissances

Customer service

Medical records software

Insurance knowledge

Formation

High School Diploma or GED

Description du poste

Advocate Health in Rock Hill, SC seeks a referrals coordinator to manage patient referrals, coordinate with referring and receiving practices, and assist with insurance coordination across departments. The role emphasizes accuracy, timeliness, and clear communication to streamline patient care.

You will review benefits, obtain authorizations as needed, direct patients to appropriate providers in their insurance network, and schedule surgical procedures or diagnostic tests.