Care Coordinator - Auth - Scheduling Specialist

Atrium Health; Concord (NH); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Referral Coordinator to assist patients and providers in navigating the complexities of insurance and scheduling. This role entails coordinating referrals, obtaining necessary authorizations, and ensuring seamless communication between patients and healthcare providers. The ideal candidate will possess strong customer service skills and a thorough understanding of insurance coverage. Join a team that values patient care and collaboration, and make a meaningful impact in the lives of those you assist. If you thrive in a fast-paced environment and are passionate about helping others, this position is for you.

Qualifications

• High School Diploma or GED required.
• Customer service experience required.

Responsibilities

• Completes referrals and coordinates with practices.
• Obtains authorizations and educates patients on coverage.

Skills

Customer Service

Insurance Knowledge

Referral Coordination

Scheduling

Education

High School Diploma or GED

Tools

Medical Records Software

Computer Skills

Job description

Overview

Job Summary

Assists patients and providers with coordinating of referrals, obtaining authorizations and scheduling. This position is also responsible for understanding benefits coverage and ensures patient's care is coordinated.

Essential Functions

• 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.

Physical Requirements
Must be able to sit for long periods of time and work in a fast-paced office environment. Should be able to bend and lift up to 10 lbs.

Education, Experience and Certifications

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.