Care Coordinator Auth Scheduling Specialist

M-F 0800-1630

• Schedules surgeries for patients and physicians. This includes but is not limited to, calling, faxing, contacting facilities, providing necessary scheduling information, ensuring special equipment, coordinating and confirming schedules.
• Assures all necessary requirements for surgery are met, including patient's history, physical, and ancillary testing results to assure timely completion prior to procedure. Forwards to facility and/or physician as indicated.
• Provides general information and education regarding pre and post-operative care with patient and/or family members. Assesses when further education is needed and refers back to the nurse as indicated. Redirects patients back to specialists/providers and facilities where appropriate.
• Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
• Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed.
• Directs surgeries to appropriate facility to allow for maximum reimbursement. Coordinates insurance issues with pre-registration and/or credit department when appropriate.
• Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.

• None Required.

• High School Graduate.

• Typically requires 1 year of experience in scheduling.

• Ability to provide good customer service and multi-task on a regular basis.
• Knowledge of insurance coverage.
• Strong verbal, interpersonal, and written communication skills.
• Ability to pay close attention to detail in a fast-paced environment.
• Must have knowledge on how to navigate on the Internet.
• Proficient computer and keyboarding skills.
• Strong ability to prioritize work flow.

• Exposed to a normal office environment. May be exposed to high noise level.
• Must be able to sit majority of the workday.
• Must be able to lift up to 10 lbs. occasionally.
• Operates all equipment necessary to perform the job.

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:

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.