Key Facts

Remote From:

Full time

Expert & Leadership (>10 years)

English

Hard Skills

Electronic Referrals Prior Authorization Care Coordination Insurance Reviews Health Policies Medical Record Management Organizational Structure

Other Skills

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Customer Service
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Computer Literacy
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Scheduling
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Communication
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Time Management
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Teamwork
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Detail Oriented

Roles & Responsibilities

High School Diploma or GED required
Computer experience required
Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies
Customer service experience required

Requirements:

Completes referrals for patients and coordinates with referring and receiving practices and/or departments; obtains all authorizations needed.
Directs patients to providers in their insurance plan and educates them on insurance coverage and benefits.
Coordinates and schedules surgical procedures, diagnostic testing, or other services across departments with internal and ancillary providers; reviews schedules for accuracy and proper time allocation.
Follows up on all referrals to ensure no care gaps.

Advocate Aurora Health

Health Care

About Advocate Aurora Health

Advocate Aurora Health and Atrium Health are now Advocate Health – the fifth-largest nonprofit integrated health system in the U.S. Advocate Health is the fifth-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, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Headquartered in Charlotte, North Carolina, Advocate Health serves nearly 6 million patients and is engaged in hundreds of clinical trials and research studies. 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 nearly 150,000 team members across 67 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 equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits. Learn more: advocatehealth.org Read our social media community engagement guidelines: aah.org/social

Company type: XLarge

Industry: Health Care

Founded: 2018

Company size: 10001

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Job description

Department:

02240 GCMG Neurology Specialty Care: Southpark - Neurology

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

Work from home with some office time requirement

Pay Range

$20.80 - $31.20

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 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.