Care Coordinator Auth Scheduling Specialist- Atrium Health Mercy Wound Management

Atrium Health Enterprise; Charlotte (NC); On-site; USD 36,000 - 52,000; Full time

Job summary

Atrium Health Enterprise in Charlotte, NC is seeking a dedicated Referral Coordinator to manage patient referrals, coordinate with referring and receiving practices, and ensure seamless patient flow in a fast-paced onsite setting.

The role requires a High School diploma or GED, computer experience, and understanding of insurance coverage; strong customer service skills are essential for providing accurate information and guiding patients through the process.

Qualifications

• Requires High School Diploma or GED.
• Computer experience required.
• Understanding of insurance coverage and medical necessity policies preferred.
• Customer service experience is required.
• Knowledge of medical records software preferred.

Responsibilities

• 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.

Skills

Referral coordination

Customer service

Scheduling

Insurance knowledge

Communication

Office software

Education

High School Diploma or GED

Tools

Medical records software

Office software

Job description

Epic Experience Preferred.

Onsite ( Arrival time 0745) M-F, No weekends or Holidays

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.