Care Navigator: Scheduling & Authorization Expert

Advocate Health; Rock Hill (SC); On-site; USD 38,000 - 52,000; Full time

Job summary

Advocate Health in Rock Hill, SC is seeking a Referral Coordinator to assist patients by coordinating referrals, obtaining authorizations, and guiding patients through insurance coverage. The role involves scheduling procedures and communicating with multiple departments to ensure seamless care delivery.

The ideal candidate has strong customer service experience, basic computer skills, and knowledge of medical insurance policies.

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

Customer service

Insurance coverage understanding

Scheduling coordination

Referrals coordination

Education

High School Diploma or GED

Tools

Medical records software

Job description

Advocate Health in Rock Hill, SC is seeking a Referral Coordinator to assist patients by coordinating referrals, obtaining authorizations, and guiding patients through insurance coverage. The role involves scheduling procedures and communicating with multiple departments to ensure seamless care delivery.

The ideal candidate has strong customer service experience, basic computer skills, and knowledge of medical insurance policies.