Care Coordinator: Referral & Scheduling Specialist

aah; Macon (GA); On-site; USD 25,000 - 40,000; Full time

Benefits offered by this job

Benefits eligible

Job summary

Advocate Health coordinates referrals and authorizations for the Cardiothoracic Surgery department and schedules procedures, ensuring coverage and alignment with patient plans. This role supports patients and providers while navigating complex insurance requirements.

The team emphasizes accurate documentation, strong customer service, and collaboration across departments to minimize care gaps and optimize timely care.

Qualifications

• 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

Responsibilities

• 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.
• Performs other duties as assigned

Skills

Customer service

Computer skills

Insurance knowledge

Education

High School Diploma or GED

Tools

Medical records software

Job description

Advocate Health coordinates referrals and authorizations for the Cardiothoracic Surgery department and schedules procedures, ensuring coverage and alignment with patient plans. This role supports patients and providers while navigating complex insurance requirements.

The team emphasizes accurate documentation, strong customer service, and collaboration across departments to minimize care gaps and optimize timely care.