Care Coordinator - Auth - Scheduling Specialist

Atrium Health; Charlotte (NC); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated individual to assist patients and providers in coordinating referrals and scheduling. This entry-level role is crucial for ensuring that patient care is seamless and well-coordinated. You will be responsible for obtaining authorizations, reviewing benefits, and guiding patients through their insurance plans. If you thrive in a fast-paced environment and have a passion for helping others navigate their healthcare needs, this opportunity is perfect for you. Join a team that values patient care and collaboration!

Qualifications

• Knowledge of insurance coverage types and medical necessity policies preferred.
• Experience with medical records software and customer service preferred.

Responsibilities

• Coordinate referrals and obtain necessary authorizations.
• Educate patients on insurance coverage and coordinate care.
• Schedule surgical procedures and follow up on referrals.

Skills

Insurance Knowledge

Customer Service

Medical Records Software

Education

High School Diploma or GED

Tools

Computer Skills

Job description

Job Summary
Assists patients and providers with coordinating referrals, obtaining authorizations, and scheduling. Responsible for understanding benefits coverage and ensuring patient's care is coordinated.

Overview
This role involves assisting with referrals, authorizations, scheduling, and understanding insurance benefits to facilitate coordinated patient care.

Essential Functions

1. Complete referrals and coordinate with referring and receiving practices or departments.
2. Coordinate and prepare financial estimates for patients.
3. Obtain all necessary authorizations.
4. Guide patients to providers within their insurance plan.
5. Review benefits and educate patients on insurance coverage.
6. Coordinate and schedule surgical procedures, diagnostic tests, or other services with internal and external providers.
7. Review and confirm schedules are accurate and appropriately allocated.
8. Follow up on referrals to ensure no care gaps.

Physical Requirements
Ability to sit for long periods and work in a fast-paced office environment. Capable of bending and lifting up to 10 lbs.

Education, Experience, and Certifications
High School Diploma or GED required. Computer experience required. Knowledge of insurance coverage types and medical necessity policies preferred. Experience with medical records software and customer service preferred.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industry: Hospitals and Health Care