Care Coordination Specialist: Referrals, Scheduling & Benefits

Advocate Health; Charlotte (NC); On-site; USD 42,000 - 66,000; Full time

Job summary

Advocate Health in Charlotte, NC is seeking a Referral Coordinator who assists patients and providers by coordinating referrals, securing authorizations, and scheduling services. The role ensures understanding of benefits coverage and care coordination across departments.

You will work with insurance plans, review coverage, obtain authorizations, and help schedule procedures, testing, and follow-ups to prevent care gaps.

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

Computer skills

Education

High School Diploma or GED

Tools

Medical records software

Job description

Advocate Health in Charlotte, NC is seeking a Referral Coordinator who assists patients and providers by coordinating referrals, securing authorizations, and scheduling services. The role ensures understanding of benefits coverage and care coordination across departments.

You will work with insurance plans, review coverage, obtain authorizations, and help schedule procedures, testing, and follow-ups to prevent care gaps.