Care Coordinator - Auth - Scheduling Specialist

Atrium Health; Texas; On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Referral Coordinator to assist patients in navigating their healthcare journey. In this vital role, you'll coordinate referrals, obtain necessary authorizations, and ensure seamless scheduling of services across various departments. Your expertise in insurance coverage will empower patients with the knowledge they need to make informed decisions about their care. If you thrive in a fast-paced environment and are passionate about providing exceptional customer service, this opportunity is perfect for you. Join a team committed to delivering quality care and making a difference in patients' lives.

Qualifications

• High School Diploma or GED required.
• Thorough understanding of insurance coverage and medical necessity policies preferred.

Responsibilities

• Coordinates referrals and schedules for patients.
• Educates patients on insurance coverage and benefits.
• Follows up on referrals to ensure care continuity.

Skills

Customer Service

Insurance Coverage Knowledge

Computer Skills

Medical Records Software

Education

High School Diploma or GED

Tools

Medical Records Software

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.