Care Coordinator - Auth - Scheduling Specialist

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

Job summary

An established industry player is seeking a dedicated individual to assist patients and providers in coordinating referrals and scheduling. This role is vital in ensuring that patients receive the necessary care by managing authorizations and educating them about their insurance coverage. The ideal candidate will thrive in a fast-paced environment, possess strong customer service skills, and have a thorough understanding of insurance policies. Join a team that values patient care and plays a crucial role in the healthcare system, making a significant impact on the lives of many individuals in the community.

Qualifications

• Customer service experience is essential for this role.
• Understanding of insurance coverage and medical necessity policies is preferred.

Responsibilities

• Coordinate referrals and authorizations for patient care.
• Schedule surgical procedures and diagnostic testing efficiently.
• Educate patients on their insurance benefits.

Skills

Customer Service

Insurance Coverage Understanding

Referral Coordination

Education

High School Diploma or GED

Tools

Medical Records Software

Computer Skills

Job description

Job Summary

Assists patients and providers with coordinating referrals, obtaining authorizations, and scheduling. This position is also responsible for understanding benefits coverage and ensuring 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 patients 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.

About the Company

With over 65,000 employees, Atrium Health is where you can find a doctor, hospital, or healthcare location in NC or SC.