Care Coordinator Auth Scheduling Specialist

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.
• Captures 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

• A High School Diploma or GED is required.
• Computer experience is required.
• A thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies is preferred.
• Knowledge of medical records software is preferred.
• Customer service experience is required.