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.
Atrium Health is one of the nation’s leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region’s largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.
We’ve been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors’ offices to behavioral health centers to nursing homes.
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