Atrium Health
Care Coordinator, Authorization Scheduling Specialist - Atrium Health Poplar Ten
Atrium Health, Concord, North Carolina, United States, 28027
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Department
39741 GCMG Musculoskeletal Administration: Corporate - Referrals
Status
Full time
Benefits Eligible
Yes
Hours Per Week
40
Schedule Details/Additional Information
MONDAY-FRIDAY 8AM-5PM
Pay Range
$20.40 - $30.60
Major Responsibilities
Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems.
Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations.
Collaborates with patient financial services to coordinate patient's financial resources and responsibilities including advanced beneficiary notice (ADN), as needed.
Educates patients, staff and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends.
Maintains knowledge of and reference materials of Medicare, Medicaid and third-party payer requirements, guidelines and policies. Remains up-to-date on insurance plans requiring pre-authorization.
Notifies patient accounts staff, scheduling and registration staff, and financial counselors of insurance coverage lapses and self-pay patient status.
Educates staff on insurance changes, trends and prior authorization requirements.
Maintains and updates files for insurance information and a list of current accepted insurance plans.
Licensure, Registration, And/or Certification Required
None Required.
Education Required
High School Graduate.
Experience Required
Typically requires 1 year of experience in customer service that includes experiences in patient accounts, third- party payer plans, accounts receivable/collection processes, and medical clinic processes and/or workflow.
Knowledge, Skills & Abilities Required
Knowledge of third-party payers and pre-authorization requirements.
Understanding of basic human anatomy, medical terminology and procedures for application in the patient pre-certification / authorization processes.
Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, physician practice management and electronic medical records systems.
Strong analytical, prioritization and organizational skills.
Ability to work independently with minimal supervision and to manage multiple priorities.
Exceptional customer service and interpersonal skills.
Must have the ability to effectively communicate with a variety of people under stressful circumstances.
Physical Requirements And Working Conditions
Exposed to a normal medical office environment.
Sits the majority of the workday.
Must be able to lift up to 10 lbs. occasionally.
Operates all equipment necessary to perform the job.
Our CommitmenttoYou
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 qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits And More
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
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. Maintains, confirms and/or secures authorization or pre-certifications required to receive physician or medical services. Verifies the accuracy and completeness of patient account information and obtains authorizations when needed. Maintains database of payer authorization requirements.
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Department
39741 GCMG Musculoskeletal Administration: Corporate - Referrals
Status
Full time
Benefits Eligible
Yes
Hours Per Week
40
Schedule Details/Additional Information
MONDAY-FRIDAY 8AM-5PM
Pay Range
$20.40 - $30.60
Major Responsibilities
Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems.
Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations.
Collaborates with patient financial services to coordinate patient's financial resources and responsibilities including advanced beneficiary notice (ADN), as needed.
Educates patients, staff and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends.
Maintains knowledge of and reference materials of Medicare, Medicaid and third-party payer requirements, guidelines and policies. Remains up-to-date on insurance plans requiring pre-authorization.
Notifies patient accounts staff, scheduling and registration staff, and financial counselors of insurance coverage lapses and self-pay patient status.
Educates staff on insurance changes, trends and prior authorization requirements.
Maintains and updates files for insurance information and a list of current accepted insurance plans.
Licensure, Registration, And/or Certification Required
None Required.
Education Required
High School Graduate.
Experience Required
Typically requires 1 year of experience in customer service that includes experiences in patient accounts, third- party payer plans, accounts receivable/collection processes, and medical clinic processes and/or workflow.
Knowledge, Skills & Abilities Required
Knowledge of third-party payers and pre-authorization requirements.
Understanding of basic human anatomy, medical terminology and procedures for application in the patient pre-certification / authorization processes.
Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, physician practice management and electronic medical records systems.
Strong analytical, prioritization and organizational skills.
Ability to work independently with minimal supervision and to manage multiple priorities.
Exceptional customer service and interpersonal skills.
Must have the ability to effectively communicate with a variety of people under stressful circumstances.
Physical Requirements And Working Conditions
Exposed to a normal medical office environment.
Sits the majority of the workday.
Must be able to lift up to 10 lbs. occasionally.
Operates all equipment necessary to perform the job.
Our CommitmenttoYou
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 qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits And More
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
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. Maintains, confirms and/or secures authorization or pre-certifications required to receive physician or medical services. Verifies the accuracy and completeness of patient account information and obtains authorizations when needed. Maintains database of payer authorization requirements.
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