Care Coordinator – Auth – Scheduling Specialist Position Available In Rowan, North Carolina
Tallo's Job Summary: The Care Coordinator - Auth - Scheduling Specialist assists patients and providers with referrals, authorizations, and scheduling. Responsibilities include coordinating referrals, obtaining authorizations, reviewing benefits, and scheduling procedures. This position requires a high school diploma or GED, computer experience, and knowledge of insurance coverage. Customer service experience is also necessary.
Job Description
- 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.
