Care coordinator auth scheduling specialist Job at Advocate Health Care (Charlotte)

Care Coordinator Auth Scheduling Specialist

Location

United States , Winston Salem

Salary:

20.80 - 31.20 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

Fulltime

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contact patients for outdated or missing demographics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

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

Car Delivery Driver

As a Car Delivery Driver, you’ll be the face of Domino’s in your local community...

Location

United Kingdom , Wishaw

Salary:

10.85 - 12.71 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Full, valid UK or International driving licence
Own a reliable, roadworthy car with valid MOT, tax, and insurance
Smartphone for delivery app use
Good knowledge of the local area
Friendly, reliable, and able to work independently
Able to work flexible hours, including evenings and weekends

Job Responsibility

Deliver pizzas and menu items to customers promptly and safely
Provide excellent customer service at every doorstep
Operate your vehicle in accordance with road safety regulations
Use the Domino’s Delivery App on your smartphone to manage orders
Support the in-store team during quieter delivery periods (e.g. cleaning, restocking, folding boxes)
Represent Domino’s positively in the community

What we offer

Competitive hourly pay + per-delivery payment + tips
28 days paid holiday per year (includes BH, pro rata for part time)
Flexible working hours to suit your lifestyle
Staff discount on our delicious food
Occasional Business Use insurance provided whilst out driving
Staff meals (conditions apply)
Company pension scheme (where eligible)
Family Leave policies in place
Paid training and clear career progression pathway with linked pay increases
Supportive, inclusive, and fun team environment

New

Home Care Worker

Position: Home Care Worker (Domiciliary Care - DRIVER WITH OWN VEHICLE REQUIRED)...

Location

United Kingdom , Bury

Salary:

12.71 - 13.70 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Full UK driving licence
Access to own vehicle
Experience in a care role preferred
Positive attitude
Excellent communication skills
Flexibility
Diligence
Valid driver's license
Work related car insurance
Willingness to undergo background checks

Job Responsibility

Provide personal care
Support daily living
Offer companionship
Conduct wellbeing checks
Ensure compliance

What we offer

£125 Welcome Bonus
Refer a Friend Scheme
Quarterly and Annual Carer Awards
Blue Light Card reimbursement
Employee Assistance Programme
Mileage Allowance
Toll/Bridge/Tunnel Costs Covered
Uniform and Infection Control Equipment
Dedicated People and Wellbeing Team
Comprehensive Training

Parttime

New

Senior Waiter

Location

United Kingdom , Manchester

Salary:

12.71 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Demonstrate warmth, empathy and genuine hospitality towards guests and colleagues
To always take a positive approach to your own role acting as a role model to all new members of the team
Work well within a team (be a team player) and a fast-paced environment
Be approachable and well mannered
Be professional and respectful at all times
Have fun and create a warm restaurant atmosphere

Job Responsibility

Work with the restaurant team to offer an unforgettable GAUCHO experience to all our guests through heightened hospitality
Be the face of GAUCHO and demonstrate service excellence while following the GAUCHO steps of service and standards
Strengthen and maintain product knowledge in order to host tables and guide guests with menu choices
Support and assist the management team to maximise sales revenues by driving covers and average spend per head
Ensure all guest orders are received and processed professionally and accurately
Help maintain a clean and organised restaurant at all times and follow all set-up and breakdown procedures

What we offer

50% off your food bill at all GAUCHOs
Opportunity to gain qualifications through Apprenticeship Scheme
cycle to work scheme
access to employee wellbeing platform
Career development and progression
Staff breakfast and dinner on every shift

Fulltime

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Care coordinator auth scheduling specialist

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