Care Coordinator Auth Scheduling Specialist

Advocate Health; Winston-Salem (NC); On-site; USD 21,000 - 34,000; Full time

Job summary

Advocate Health in Winston-Salem is seeking a patient referral coordinator to support scheduling and insurance coordination. You will manage referrals, obtain authorizations, and guide patients to appropriate providers based on their plan coverage.

This role requires strong customer service and familiarity with medical records software. The position emphasizes collaboration with physicians and departments to ensure timely care and minimize gaps in service.

Qualifications

• High School Diploma or GED required.
• Computer experience required.
• Knowledge of medical records software preferred.
• Knowledge of Insurance coverage and Medical Necessity policies preferred.
• Customer service experience required.

Responsibilities

• Complete referrals for patients and coordinate with referring and receiving practices and/or departments.
• Coordinate and prepare financial estimates for patients.
• Obtain all authorizations needed.
• Direct patients to providers in their insurance plan.
• Review benefits and educate patient on insurance coverage.
• Coordinate and schedules surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers.
• Review schedules and confirm schedules are accurate and time is properly allocated.
• Follow up on all referrals to ensure no care gaps.

Skills

Customer service

Computer experience

Education

High School Diploma or GED

Tools

Medical records software

Job description

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.