Care Coordinator Authorization Scheduling Specialist

Atrium Health; Winston-Salem (NC); Presencial; USD 22 000 - 28 000; Tempo integral

Resumo da oferta

Atrium Health's Neurosurgery and Spine team in Winston-Salem is seeking a Scheduler to manage new patient referrals, review scheduling requirements, and coordinate appointments with referring providers and internal teams to ensure a seamless patient experience.

You will complete referrals, obtain authorizations, educate patients on insurance coverage, and guide them to the appropriate providers within their plan.

Qualificações

• Customer service experience required.
• Understanding of Insurance coverage and Medical Necessity policies preferred.
• Knowledge of medical records software preferred.
• Experience managing patient scheduling, referrals, and insurance authorizations in healthcare, preferably in a specialty practice.

Responsabilidades

• Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
• Coordinates and schedules surgical procedures, diagnostic testing, or other services with internal and ancillary providers.
• Obtains all authorizations needed.
• Directs patients to providers in their insurance plan.
• Reviews benefits and educates patient on insurance coverage.
• Reviews schedules and confirms accuracy and proper time allocation.
• Follows up on all referrals to ensure no care gaps.

Conhecimentos

Customer service experience

Insurance coverage knowledge

Medical records software familiarity

Scheduling and referrals management

Healthcare setting experience

Formação académica

High School Diploma or GED

Ferramentas

Medical records software

Descrição da oferta de emprego

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.