Care Coordinator Auth Scheduling Specialist Job at Advocate Health Care (Winston Salem)

Care coordinator auth scheduling specialist

Location

United States , Charlotte

Salary:

20.40 - 30.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

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

Job Responsibility

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

What we offer

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
Premium pay such as shift, on call, and more
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Referral & Prior Auth III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of relevant experience required
Medical Terminology, experience with surgical/appointment scheduling software and electronic medical records preferred
Demonstrated customer relations skills required

Job Responsibility

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines
Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided
Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up
Adheres to approved protocols for working referrals and prior authorizations
Responsible for managing department referrals
Serves as liaison, appointment coordinator, and patient advocate between the referring office, specialists, and patient to assist in the coordination of scheduled visits and procedures incorporating all incoming referrals to the department
Conducts data analyses to track patient compliance with specialty services, consistently monitors the work queues, and communicates with referring and referred to departments to reconcile any discrepancies and/or answer any questions
Escalates case management when medical assessment is needed
Prioritizes referral requests using medical protocols, responding immediately and expediting most urgent requests
Requests and coordinates team and patient meetings as needed or requested by patient

Fulltime

Referral & prior auth rep iii

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of relevant experience required
Medical Terminology, experience with surgical/appointment scheduling software and electronic medical records preferred
Demonstrated customer relations skills required

Job Responsibility

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines
Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided
Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up
Adheres to approved protocols for working referrals and prior authorizations
Responsible for managing department referrals
Serves as liaison, appointment coordinator, and patient advocate between the referring office, specialists, and patient to assist in the coordination of scheduled visits and procedures incorporating all incoming referrals to the department
Conducts data analyses to track patient compliance with specialty services, consistently monitors the work queues, and communicates with referring and referred to departments to reconcile any discrepancies and/or answer any questions
Escalates case management when medical assessment is needed
Prioritizes referral requests using medical protocols, responding immediately and expediting most urgent requests
Requests and coordinates team and patient meetings as needed or requested by patient

Fulltime

Referral & prior auth rep iii

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of relevant experience required
Or equivalent combination of education and experience
Medical Terminology, experience with surgical/appointment scheduling software and electronic medical records preferred
Demonstrated customer relations skills required

Job Responsibility

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines
Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided
Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up
Adheres to approved protocols for working referrals and prior authorizations
Responsible for managing department referrals
Serves as liaison, appointment coordinator, and patient advocate between the referring office, specialists, and patient to assist in the coordination of scheduled visits and procedures
Conducts data analyses to track patient compliance with specialty services, consistently monitors the work queues, and communicates with referring and referred to departments
Escalates case management when medical assessment is needed
Prioritizes referral requests using medical protocols, responding immediately and expediting most urgent requests
Requests and coordinates team and patient meetings as needed or requested by patient

Fulltime

New

Registration & Eligibility Specialist

UNM Hospital is the largest community mental health provider in the state of New...

Location

United States , Albuquerque

Salary:

16.59 - 22.95 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Not Applicable/Not Required

Job Responsibility

Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned
verify insurance coverage eligibility and benefits
verify required referrals and/or prior authorization are in place prior to visit
contact patients for outdated or missing demographics
professional and efficient phone call handling via telephone ACD system in a call center setting
perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care
screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs
perform intake applications for State of NM Medicaid
Ensure adherence to Hospitals and departmental policies and procedures
Assist patients in locating departments

What we offer

Full health/dental/vision with no deductible for full-time employees
Retirement with up to 6% match
PTO and 9 paid holidays
Amazing shift differentials including up to 26% for weekend nights
Sign-on bonuses and relocation assistance

Fulltime

New

Customer Success Manager

This is a rare and foundational opportunity to be an early Customer Success Mana...

Location

United States , New York

Salary:

110000.00 - 135000.00 USD / Year

Luma AI

Expiration Date

Until further notice

Requirements

3-5 years of professional experience in Customer Success, Account Management, or a related client-facing function, with a proven track record of driving results
A 'doer' who thrives in a fast-paced, dynamic environment and is motivated to manage customer relationships hands-on
Highly independent and motivated, capable of operating with significant autonomy
Demonstrated ability to manage existing business effectively while simultaneously providing valuable input that helps shape organizational processes
Exceptional ability to translate customer feedback into actionable insights for product and engineering teams
Comfortable navigating organizational ambiguity and adapting to evolving team structures as the company scales

Job Responsibility

Manage existing customer relationships, ensuring their success and satisfaction with Luma's products
Provide valuable input from customer experiences, acting as the voice of the customer to internal teams
Help define and refine foundational customer success processes
Drive robust feedback loops between customers and our product/engineering teams to inform future development
Identify patterns in customer issues and proactively assist in developing solutions and best practices
Execute the initial customer journey and engagement models for a rapidly evolving frontier technology

Fulltime

New

Talent Acquisition Partner - Destinations

The Talent Acquisition Partner is responsible for recruiting entry level and man...

Location

United States , Philadelphia

Salary:

Not provided

Aramark

Expiration Date

Until further notice

Requirements

2-5 years full life cycle, high volume, corporate or agency experience recruitment experience required
Bachelor's degree or related experience preferred
Creative sourcing and pipelining experience, including use of social media – LinkedIn, etc.
The ability to influence strategy and provide mentoring and counseling
Experience with researching, generating, and converting searches into a qualified candidate pool.

Job Responsibility

Recruiting and evaluating external candidates through a variety of sources and recruiting techniques
Collaborating with College Relations channels to attract entry level talent to Aramark
Engage candidates and internal partners throughout the recruiting and selection process
Implement the national talent management strategy for existing vacancies
Support new business through pipelining candidates for anticipated business
Coaching and advising internal client groups to influence action and decision making.

Fulltime

New

Packaging Manager

Sly Fox Brewing Company, a respected regional craft brewer with over 3 decades i...

Location

United States of America , Pottstown

Salary:

Not provided

Sly Fox Brewing Company

Expiration Date

Until further notice

Requirements

Three or more years of experience in brewery and/or beverage production in an automated manufacturing environment
Ability to safely operate a forklift and scissor lift. Training and certification is done on-site
Strong technical understanding of machinery and sanitation
Knowledge of can seam measurements and ability to abide by strict quality packaging parameters
Experience in quality control and other protocols
Ability to work on your feet for long hours in a noisy (less than 85 decibels), ambient temperature environment
Flexibility and the ability to work beyond normal working hours and in other positions temporarily, when necessary to ensure product delivery
You are self-motivated and able to work autonomously, with a focused and hard-working attitude
Ability to multitask and work coolly and professionally in time sensitive situations
Must have good communication skills with the ability to both receive feedback and offer ideas

Job Responsibility

Packaging beer according to the brew schedule and per the Director of Brewery Operations
Training, motivating, and developing Packaging Team members
Providing leadership and taking responsibility for performance of the Packaging Team and holding team members accountable
Ensuring change overs, can reloads, and product changeovers happen quickly and efficiently
Ensuring beer quality is maintained throughout the packaging process
Developing and maintaining SOPs for safety, CIP, and packing operations
Working with the Director of Maintenance to ensure preventative maintenance is being completed
Working with the Director of Brewery Operations to ensure all needed packaging materials are on-site and available for scheduled production
Being mindful of Dissolved Oxygen and other quality risks to packaged beer and working to continuously improve to eliminate or minimize those risks
Having an understanding of the production equipment and diagnose sources of machine failure to make necessary repairs and adjustments

What we offer

Dental and health plan
Paid vacation
Holidays
401K with employer matching
Discounts on food, beer, and merchandise at Sly Fox pubs

Fulltime

Care Coordinator Auth Scheduling Specialist

Advocate Health Care

Location:
United States , Winston Salem

Category:
Customer Service

Contract Type:
Not provided

Salary:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 02, 2026

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