PRN LCI Care Coordinator / Auth Scheduling Specialist

Advocate Health; Charlotte (NC); On-site; USD 35,000 - 52,000; Full time

Job summary

Advocate Health is seeking a patient service specialist to manage referrals, coordinate with referring and receiving practices, obtain authorizations, and guide patients through insurance plans. You will review benefits, educate patients on coverage, and help with scheduling across departments.

Strong computer skills and knowledge of insurance policies are required, with preference for experience in medical records software and customer service in a healthcare setting.

Qualifications

• High School Diploma or GED required.
• Computer experience required.
• Understanding of Insurance coverage and Medical Necessity policies preferred.
• Knowledge of medical records software preferred.
• Customer service experience required.

Responsibilities

• Complete referrals for patients and coordinate with referring and receiving practices.
• Coordinate and prepare financial estimates for patients.
• Obtain all authorizations needed.
• Direct patients to providers in their insurance plan.
• Review benefits and educate patient on insurance coverage.
• Coordinate and schedule procedures and services across departments.
• Review schedules for accuracy and proper time allocation.
• Follow up on referrals to ensure no care gaps.

Skills

Customer service

Computer experience

Medical records software

Education

High School Diploma or GED

Tools

Medical records software

Job description

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.