Care Coordinator Authorization Scheduling Specialist

aah; Winston-Salem (NC); Remote; USD 43,000 - 65,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement plan

Job summary

Advocate Health is seeking a referral and authorization coordinator to assist patients and providers by coordinating referrals, obtaining authorizations and scheduling services. You will review benefits, explain coverage, coordinate surgical procedures and testing across departments, and ensure no care gaps while maintaining accurate schedules.

The role requires a HS diploma, computer experience, and knowledge of insurance coverage. Remote work option is available and hours are 40 per week.

Qualifications

• HS diploma or GED required.
• Computer experience required.
• Thorough understanding of Insurance coverage and Medical Necessity policies preferred.
• Knowledge of medical records software preferred.
• Customer service experience required.

Responsibilities

• Complete referrals for patients and coordinates with referring and receiving practices and/or departments.
• May coordinate and prepare financial estimates for patients.
• Obtain all authorizations needed.
• Direct patients to providers in their insurance plan and review benefits/educate on coverage.
• Coordinate and schedule surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers.
• Review schedules and confirm accuracy and proper time allocation.
• Follow up on all referrals to ensure no care gaps.

Skills

Customer service

Computer literacy

Insurance knowledge

Medical records software

Education

High School Diploma

Tools

Medical records software

Job description

Department: 37126 Wake Forest Baptist Medical Center - Administration: Head & Neck

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule Details/Additional Information:

• Monday-Friday 8:00am-5:00pm
• Remote Work

Pay Range: $20.80 - $31.20

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.

What You'll Need

• 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.

What You'll Do

• Complete referrals for patients and coordinates with referring and receiving practices and/or departments.
• May coordinate and prepare financial estimates for patients.
• Obtain all authorizations needed.
• Direct patients to providers in their insurance plan.Review benefits and educates patient on insurance coverage.
• Coordinate and schedule surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers.
• Review schedules and confirms schedules are accurate and time is properly allocated.
• Follow 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.

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.