Advocate Health
Healthcare
CareCoordination-Auth-SchedulingSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Care Coordination-Auth-Scheduling Specialist at Advocate Health. Skills: Care coordination, Authorization processing, Scheduling. Complete referrals for patients. Coordinate with referring and receiving practices”
What You'll Achieve.
Ensure no care gaps
Industry & Context.
Root cause analysis
Sit for long periods, Work in fast-paced office, Bend, Lift up to 10 lbs
What They're Looking For.
Must Have
High School Diploma or GED, Computer experience required, Customer service experience required
Nice to Have
Thorough understanding of Insurance coverage, Medical Necessity policies preferred, Knowledge of medical records software preferred
What You'll Do.
Complete referrals for patients
Coordinate with referring and receiving practices
Coordinate with departments
Coordinate financial estimates for patients
Obtain all authorizations needed
Direct patients to providers in their insurance plan
Educate patient on insurance coverage
Coordinate and schedule surgical procedures
Schedule diagnostic testing
Schedule other services within various departments
Schedule with internal providers
Schedule with ancillary providers
Confirm schedules are accurate
Confirm time is properly allocated
Follow up on all referrals
How You'll Work.
Team & Collaboration
Referring practices; Receiving practices; Internal departments; Ancillary providers
Communication Scope
Educate patient
Full Job Description
**Department:** 39741 GCMG Musculoskeletal Administration: Corporate - Referrals **Status:** Full time **Benefits Eligible:** Yes **Hou****rs Per Week:** 40 **Schedule Details/Additional Information:** Weekdays **Pay Range** $20.80 - $31.20 **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. **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** 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. **Our Commitment to You:** 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 qu
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