Care Coordinator - Auth - Scheduling Specialist

Atrium Health; Shelby (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 navigating referrals, authorizations, and scheduling. This role is crucial for ensuring that patient care is seamless and well-coordinated. You'll be responsible for reviewing insurance benefits, coordinating surgical procedures, and following up on referrals to prevent care gaps. If you thrive in a fast-paced environment and have a passion for customer service, this opportunity offers a chance to make a real difference in patient care.

Qualifications

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

Responsibilities

• Coordinate referrals and authorizations for patients with various providers.
• Educate patients on their insurance coverage and coordinate care.

Skills

Customer Service

Insurance Knowledge

Coordination Skills

Education

High School Diploma or GED

Tools

Medical Records Software

Computer Skills

Job description

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.

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.