Care Coordination & Referrals Specialist

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

Benefits offered by this job

Paid Time Off

Health and welfare benefits

Flexible Spending Accounts

Adoption assistance and paid parental/

Retirement plans with employer match

Job summary

Advocate Health in Charlotte, NC seeks a full-time Referral Coordinator to assist patients and providers with coordinating referrals, obtaining authorizations, and scheduling. The role also involves understanding benefits coverage and ensuring patient care is coordinated.

Key duties include completing referrals, obtaining authorizations, guiding patients to appropriate providers, educating on insurance coverage, and coordinating procedures across departments with internal and ancillary teams.

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

Communication skills

Time management

Education

High School Diploma or GED

Tools

Medical records software

Insurance systems

Job description

Advocate Health in Charlotte, NC seeks a full-time Referral Coordinator to assist patients and providers with coordinating referrals, obtaining authorizations, and scheduling. The role also involves understanding benefits coverage and ensuring patient care is coordinated.

Key duties include completing referrals, obtaining authorizations, guiding patients to appropriate providers, educating on insurance coverage, and coordinating procedures across departments with internal and ancillary teams.