Authorization Coordinator - Alton Road (Part Time, Days)

Nicklaus Children's Health System; Miami (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

Nicklaus Children's Health System in Miami, FL seeks an organized professional to support physician practice with surgical scheduling, authorizations, and patient coordination. You will handle paperwork, insurance verifications, and maintain accurate EMR entries, ensuring confidentiality and smooth patient flow.

The role requires 1-3 years in medical office settings and surgical scheduling experience, along with proficiency in Microsoft Office applications and strong communication skills.

Qualifications

• 1-3 years Physician/medical office experience.
• 1-3 years Surgical scheduling and authorization request experience.

Responsibilities

• Coordinate surgical scheduling and obtain authorizations.
• Process paperwork including clearances and demographics with facilities.
• Schedule surgeries and update the OR schedule as changes occur.
• Verify insurance and obtain necessary authorization for procedures.
• Ensure patient records confidentiality and EMR documentation.

Skills

Communication skills

Confidentiality

Follow instructions

Teamwork

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Job Summary

Assist Physician(s) and staff with daily coordination of patient care, surgeries, and access. Primarily responsible for supporting clinical practice staff with surgical scheduling and obtaining authorizations.

Job Responsibilities

• Scans surgical sheet to patient chart under surgery documentation.
• Coordinates with facility to process paperwork: clearance's, demographics, etc.
• Schedules surgery appointment.
• Distributes/updates Outlook OR schedule daily as changes are made.
• Processes all surgical cases for physician practice, including insurance verification. Searches for ICD/CPT code when not provided. Obtains necessary authorization for all surgical procedures.
• Coordinates surgeries with outside physicians. Coordinates prior hospital admissions if associated with surgical procedure as needed.
• Arranges and coordinates Gamma Knife surgical procedures in outside facilities.
• Protects patient medical records and Merge MRN via HIM.
• Posts all surgeries in the Pre-Operative Surgical Scheduling Form for all departmental physicians.
• Maintains confidentiality of patient and company related business.
• Provides accurate, detailed information to patients regarding test preparations and any other directional information needed; takes appropriate action in responding to questions from patients.
• Schedules all surgical patients for pre-operative appointment, and scans surgical documentation into EMR.
• Schedules pre-op and post-op testing appointments when needed.
• Advises appropriate staff when patient starts in Radiology, needs to be admitted the day before surgery, needs pre-op on morning of surgery, etc.
• Enters notes/special instructions needed when scheduling procedure.
• Assists other members of the department as needed.
• Interfaces with appropriate vendor staff to ensure all necessary equipment will be on site for office and hospital-based procedures, including scheduling with contracted anesthesia groups. Interfaces with appropriate staff to ensure a cohesive working relationship in providing patient care serves.

Qualifications

• 1-3 years Physician/medical office experience
• 1-3 years Surgical scheduling and authorization request experience

Knowledge, Skills, And Abilities

• High school education or equivalent preferred.
• Proficient in Microsoft Office: Word, Excel, Outlook.
• Able to relate cooperatively and constructively with clients and co-workers.
• Ability to communicate verbally and in writing.
• Able to maintain confidentiality of sensitive information.
• Ability to follow detailed written or verbal instructions.