Care Coordinator Authorization Scheduling Specialist- GYN Oncology

About the role

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.

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

• 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.

Skills

• Strong communication and interpersonal skills.
• Ability to manage multiple tasks and prioritize effectively.
• Proficiency in medical record software.
• Knowledge of insurance coverage and medical necessity policies.

Benefits

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

• 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.

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

Pay

$20.80 - $31.20

Schedule

Mon - Thurs 8a-5p
Friday 8a-2p