Care Coordination & Scheduling Pro (Insurance Focus)

Atrium Health; Winston-Salem (NC); Vor Ort; USD 42.000 - 54.000; Vollzeit

Zusammenfassung

Atrium Health in Winston-Salem, NC is seeking a Referral Coordinator to manage patient referrals, coordinate with referring and receiving practices, and ensure timely care. The role involves reviewing benefits, educating patients on insurance coverage, and directing them to appropriate providers in their plan.

The position supports scheduling of surgical procedures, testing, and other services across departments, verifies schedules, and follows up to close care gaps.

Qualifikationen

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

Aufgaben

• 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.

Kenntnisse

Customer service

Insurance coverage knowledge

Computer skills

Ausbildung

High School Diploma or GED

Tools

Medical records software

Jobbeschreibung

Atrium Health in Winston-Salem, NC is seeking a Referral Coordinator to manage patient referrals, coordinate with referring and receiving practices, and ensure timely care. The role involves reviewing benefits, educating patients on insurance coverage, and directing them to appropriate providers in their plan.

The position supports scheduling of surgical procedures, testing, and other services across departments, verifies schedules, and follows up to close care gaps.