Care Coordinator Authorization Scheduling Specialist

Advocate Health; Winston-Salem (NC); Vor Ort; USD 38.000 - 52.000; Vollzeit

Zusammenfassung

Advocate Health in Winston-Salem, NC is seeking a detail-oriented Scheduler to support the Neurosurgery and Spine team. You will manage new patient referrals, coordinate appointments, and ensure timely authorizations and coverage information to optimize the patient experience.

The ideal candidate has strong organizational and customer service skills, experience with scheduling and insurance processes in healthcare, and the ability to work with multiple providers and departments to reduce care

Qualifikationen

• High School Diploma or GED is required and computer experience is expected.
• Experience managing patient scheduling, referrals and insurance authorization processes in healthcare.
• Knowledge of insurance coverage types and medical necessity policies is preferred.
• Customer service experience is required.

Aufgaben

• Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
• Coordinates and schedules surgical procedures, diagnostic testing, or other services within various departments 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.
• 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.

Kenntnisse

Scheduling

Referral coordination

Insurance authorization

Customer service

Medical terminology

Ausbildung

High School Diploma or GED

Tools

Medical records software

Jobbeschreibung

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.