Care Coordinator - Authorization - Surgeries, Pain Procedures, and Diagnostic Imaging

Atrium Health; Rock Hill, Mooresville (SC, NC); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a Care Coordinator to facilitate patient referrals and authorizations for surgeries and diagnostic imaging. This role involves ensuring seamless coordination of care, educating patients about their insurance benefits, and managing scheduling with various providers. Ideal candidates will have strong customer service skills and a solid understanding of insurance coverage. Join a dynamic team committed to providing high-quality patient care in a fast-paced environment.

Qualifications

• Knowledge of insurance coverage and medical necessity policies is preferred.
• Customer service experience is required.

Responsibilities

• Completes referrals for patients and coordinates with practices.
• Obtains necessary authorizations and directs patients to providers.
• Coordinates and schedules surgical procedures and diagnostic testing.

Skills

Customer Service

Insurance Knowledge

Computer Literacy

Education

High School Diploma or GED

Tools

Medical Records Software

Job description

Care Coordinator - Authorization - Surgeries, Pain Procedures, and Diagnostic Imaging

This job posting is no longer active.

Rock Hill, SC, United States
Job ID: 155880
Job Family: Patient Accounting/Registration
Status: Full Time
Shift: Day
Detailed Shift and Schedule: MONDAY-FRIDAY 8-5
Job Type: Regular
Department Name: 29101017241705-Referral Coordination

Assists patients and providers with coordinating referrals, obtaining authorizations, and scheduling. This position is responsible for understanding benefits coverage and ensuring coordinated patient care.

Essential Functions

1. Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
2. Coordinates and prepares financial estimates for patients as needed.
3. Obtains all necessary authorizations.
4. Directs patients to providers within their insurance plan.
5. Reviews insurance benefits and educates patients on coverage.
6. Coordinates and schedules surgical procedures, diagnostic testing, or other services with internal and ancillary providers.
7. Reviews and confirms schedules are accurate and appropriately allocated.
8. Follows up on all referrals to prevent care gaps.

Physical Requirements

Must be able to sit for long periods and work in a fast-paced office environment. Ability to bend and lift up to 10 lbs is required.

Education, Experience, and Certifications

High School Diploma or GED required. Computer literacy is required. Knowledge of insurance coverage (FSC/Coverage/Plan types) and medical necessity policies is preferred. Familiarity with medical records software is a plus. Customer service experience is required.