Care Coordinator Auth Scheduling Specialist

Advocate Aurora Health; Mint Hill (NC); On-site; USD 29,000 - 43,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement plan

Educational assistance

Job summary

Advocate Health is seeking an organized Referrals Coordinator to manage patient referrals, coordinate with referring and receiving practices, and obtain required authorizations. You will guide patients to appropriate providers within their insurance network and educate them on coverage.

The role includes scheduling surgeries/tests, reviewing benefits, and ensuring accurate time allocation across departments. A high school diploma and healthcare software familiarity are required.

Qualifications

• High School Diploma or GED required.
• Computer experience required.
• Knowledge of insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred.
• Customer service experience required.

Responsibilities

• Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
• Prepares financial estimates for patients when needed.
• Obtains all authorizations needed.
• Directs patients to providers in their insurance plan.
• Reviews benefits and educates patient on insurance coverage.
• Coordinates and schedules procedures and tests with internal and external providers.
• Reviews schedules and ensures time is allocated correctly.
• Follows up on all referrals to prevent care gaps.

Skills

Customer service

Insurance coverage knowledge

Computer literacy

Schedule coordination

Education

High School Diploma or GED

Tools

Medical records software

Job description

Department: 39741 GCMG AMS Administration: Corporate - Referrals

Status: Full time

Benefits Eligible: Yes

Hou rs Per Week: 40

Schedule Details/Additional Information:

M - F

8:00 am - 5:00 pm

Pay Range: $20.80 - $31.20

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.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.; please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.