Care Coordinator-Auth-Scheduling Specialist| FT| Day

Atrium Health Navicent; Macon (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

Atrium Health Navicent in Georgia is seeking a Referral Coordinator to assist patients and providers with referrals, authorizations, and scheduling. This role ensures understanding of benefits coverage and coordinates patient care across departments.

You will handle referrals, obtain authorizations, inform patients about insurance coverage, and coordinate scheduling of procedures and services. Strong customer service and computer skills are essential.

Qualifications

• High School diploma or GED required.
• Computer experience required.
• Understanding of insurance coverage and medical necessity policies preferred.
• Customer service experience 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.
• Performs other duties as assigned.

Skills

Referral coordination

Patient scheduling

Customer service

Computer skills

Education

High School Diploma or GED

Tools

EHR systems

Medical records software

Job description

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.

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