Care Coordination & Scheduling Specialist

aah

Charlotte (NC)

On-site

USD 59,600,000 - 89,401,000

Full time

4 days ago

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Job summary

Advocate Health is seeking a Referral Coordinator to assist patients and providers with coordinating referrals, securing authorizations, and scheduling services. This role also requires understanding benefits coverage and ensuring patient care is coordinated.

You will review benefits coverage, educate patients on insurance, and work closely with referring and receiving practices to prevent care gaps. The position is full-time with hours from 8:00 AM to 4:30 PM, Monday through Friday in

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.

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.