Care Coordinator-Auth-Scheduling Specialist

Overview

Job Summary 

Assists patients and providers with coordinating of referrals, obtaining authorizations and scheduling. This position is also responsible for understanding benefits coverage and ensures patient’s care is coordinated. 

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.

*Performs other duties as assigned*

 Education, Training, and Experience:

 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