Care Coordinator Auth Specialist

About the role

This position assists patients and providers with coordinating referrals, obtaining authorizations, and scheduling. The role also involves understanding benefits coverage and ensuring patient care coordination.

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.
• 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.

Requirements

• 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.

Qualifications

• 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.

Skills

• Understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies.
• Knowledge of medical records software.
• Customer service experience.

Benefits

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Education Assistance Program.

Pay

Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.

Premium pay such as shift, on call, and more based on a teammate's job.

Incentive pay for select positions.

Opportunity for annual increases based on performance.

Schedule

Monday-Friday hours vary from 7am-5pm.