Referral & Authorization Scheduler

Advocate Health; Rock Hill (SC); On-site; USD 29,000 - 43,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

Flexible Spending Accounts

Job summary

Advocate Health is seeking a full-time Referrals Coordinator for the Musculoskeletal Administration: Corporate - Referrals department. The role includes completing referrals, coordinating with referring and receiving practices, obtaining authorizations, and directing patients to in-network providers.

The position requires a high school diploma or GED, strong computer skills, and experience with insurance coverage. Competitive benefits and comprehensive total rewards are offered.

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.

Skills

Customer service

Computer skills

Insurance knowledge

Scheduling coordination

Education

High School Diploma or GED

Tools

Medical records software

Job description

Advocate Health is seeking a full-time Referrals Coordinator for the Musculoskeletal Administration: Corporate - Referrals department. The role includes completing referrals, coordinating with referring and receiving practices, obtaining authorizations, and directing patients to in-network providers.

The position requires a high school diploma or GED, strong computer skills, and experience with insurance coverage. Competitive benefits and comprehensive total rewards are offered.