Care Coordinator, Authorization Scheduling Specialist - Atrium Health Rock Hill

Atrium Health Enterprise; Rock Hill (SC); On-site; USD 25,000 - 39,000; Full time

Job summary

Atrium Health Enterprise in Rock Hill, SC seeks a referrals coordinator to manage patient referrals, obtain authorizations, and guide patients to in-network providers. You will coordinate scheduling of procedures and testing across departments while ensuring accurate time allocation.

The role emphasizes customer service, computer proficiency, and knowledge of insurance and medical records software to educate patients and minimize care gaps.

Qualifications

• High School Diploma or GED required.
• Computer experience required; knowledge of medical records software preferred.
• Thorough understanding of Insurance coverage and Medical Necessity policies preferred.

Responsibilities

• Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
• 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.
• 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

Computer skills

Education

High School Diploma or GED

Tools

Medical records software

Job description

• 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.

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.