Care Coordinator Autho

Atrium Health Wake Forest Baptist; Winston-Salem (NC); On-site; USD 28,000 - 43,000; Full time

Benefits offered by this job

Health benefits

Paid time off (PTO)

Flexible Spending Accounts

Adoption assistance

Retirement plan with employer match

Job summary

Advocate Health assists Patients and providers by coordinating referrals, obtaining authorizations, and scheduling within the Neurosurgery and Spine team. This role focuses on improving patient access to specialized care and ensuring a seamless patient experience.

The Scheduler handles new patient referrals, reviews scheduling requirements, and collaborates with referring providers and internal teams to prevent care gaps.

Qualifications

• High School Diploma or GED required.
• Knowledge of Insurance coverage and Medical Necessity policies preferred.
• Customer service experience required.
• Experience managing patient scheduling, referrals, and insurance authorization processes in a healthcare setting, preferably within a specialty practice.

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

Scheduling coordination

Education

High School Diploma or GED

Computer experience

Knowledge of medical records software

Experience managing patient scheduling, referrals, and insurance authorization processes

Tools

Medical records software

Insurance authorization systems

Job description

Department

37129 Wake Forest Baptist Medical Center - Administration: Spine Program

Department

37129 Wake Forest Baptist Medical Center - Administration: Spine Program

Status

Full time

Benefits Eligible

Yes

Hours Per Week

40

Schedule Details/Additional Information

• Monday – Friday 8:00 – 5:00
• No call, weekends, holidays.
• No travel

Pay Range

$20.80 - $31.20

Job Description

Join a dedicated Neurosurgery and Spine team focused on improving patient access to specialized care. The Scheduler is responsible for managing new patient referrals, reviewing scheduling requirements, coordinating appointments, and partnering with referring providers and internal teams to ensure a seamless patient experience.

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.
• Experience managing patient scheduling, referrals, and insurance authorization processes in a healthcare setting, preferably within a specialty practice.

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

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

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.

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.