Care Coordinator-Auth-Scheduling Specialist| FT| Day

aah

Macon (GA)

On-site

USD 25,000 - 40,000

Full time

3 days ago
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Benefits offered by this job

Benefits eligible

Job summary

Advocate Health coordinates referrals and authorizations for the Cardiothoracic Surgery department and schedules procedures, ensuring coverage and alignment with patient plans. This role supports patients and providers while navigating complex insurance requirements.

The team emphasizes accurate documentation, strong customer service, and collaboration across departments to minimize care gaps and optimize timely care.

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.
  • Performs other duties as assigned

Skills

Customer service
Computer skills
Insurance knowledge

Education

High School Diploma or GED

Tools

Medical records software

Job description

Department:

02410 AHNMG Cardiothoracic Surgery: 575 1st St - Surgery: Thoracic

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Weekdays

Pay Range

$19.45 - $29.20

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.
  • *Performs other duties as assigned*
Education, Training, and Experience:

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

#INDEED456

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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