Care Navigator: Referrals, Scheduling & Insurance

Advocate Health; Charlotte (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

Advocate Health in Charlotte, NC seeks a patient services professional to manage referrals, insurance coordination, scheduling, and related administrative tasks. You will coordinate with referring and receiving practices, obtain authorizations, and guide patients to in-network providers to ensure smooth care transitions.

The role requires computer experience and customer service skills, with knowledge of insurance coverage.

Qualifications

• High School Diploma or GED required.
• Computer experience required.
• Thorough understanding of Insurance coverage 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.

Skills

Referral coordination

Insurance coordination

Customer service

Scheduling

Education

High School Diploma or GED

Tools

Medical records software

Job description

Advocate Health in Charlotte, NC seeks a patient services professional to manage referrals, insurance coordination, scheduling, and related administrative tasks. You will coordinate with referring and receiving practices, obtain authorizations, and guide patients to in-network providers to ensure smooth care transitions.

The role requires computer experience and customer service skills, with knowledge of insurance coverage.