Care Coordination & Referral Scheduling Specialist

Atrium Health; Charlotte (NC); On-site; USD 29,000 - 43,000; Full time

Job summary

Advocate Health in Charlotte, NC is seeking a full-time Referral Coordination specialist to manage patient referrals, obtain authorizations, and guide patients to appropriate providers within their insurance network.

The role involves coordinating with multiple departments, reviewing benefits, and ensuring timely scheduling of procedures and tests. A high school diploma and strong computer skills are required, with customer service experience highly valued.

Qualifications

• High School Diploma or GED required.
• Computer experience required.
• Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred.
• Knowledge of medical records software preferred.
• Customer service experience required.

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.

Skills

Customer service

Insurance knowledge

Medical records software

Education

High School Diploma or GED

Tools

Medical records software

Job description

Advocate Health in Charlotte, NC is seeking a full-time Referral Coordination specialist to manage patient referrals, obtain authorizations, and guide patients to appropriate providers within their insurance network.

The role involves coordinating with multiple departments, reviewing benefits, and ensuring timely scheduling of procedures and tests. A high school diploma and strong computer skills are required, with customer service experience highly valued.