Care Coordinator Auth Scheduling Specialist- Atrium Health Mercy Wound Management

Advocate Health; Charlotte (NC); On-site; USD 42,000 - 52,000; Full time

Job summary

Advocate Health in Charlotte, NC is seeking a referrals coordinator to support patient access and scheduling within a fast-paced medical office.

Responsibilities include coordinating referrals, handling insurance authorizations, educating patients on coverage, and ensuring no care gaps by following up on referrals. High school diploma or GED required; customer service experience is preferred.

Qualifications

• 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.

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

Customer service

Computer skills

Education

High School Diploma or GED

Tools

Medical records 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.