Authorization Coordinator - Pompano Beach (Full Time, Days)

Nicklaus Children's Health System; Pompano Beach (FL); On-site; USD 32,000 - 46,000; Full time

Job summary

Nicklaus Children’s Health System in Florida seeks an administrative professional to secure insurance authorizations for outpatient services and to handle pre-registration and scheduling for hospital visits. You will verify appointments, collect insurance information, and maintain accurate documentation.

The role emphasizes high-quality customer service, coordination with the clinical team, and escalation of any authorization issues.

Qualifications

• 2-3 years of medical insurance and billing experience preferred.
• High school education or equivalent preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.

Responsibilities

• Secures insurance authorization for outpatient services and procedures.
• Schedules appointments and verifies medical appointments and documentation.
• Coordinates collection and submission of additional insurance information.
• Escalates authorization issues and coordinates peer-to-peer review.
• Coordinates with clinical team and communicates management care requests.
• Documents accurate records of insurance notes and authorizations.
• Answers phones, routes calls, and relays messages to staff.
• Follows up with patients for return visits, missed appointments, and cancellations.

Skills

Bilingual English/Spanish

Excellent customer service

Critical thinking

Education

High school diploma or equivalent

Job description

Job Summary

Responsible for securing insurance authorizations for patients and performs pre-registration and scheduling functions for hospital visits and procedures.

Minimum Job Requirements

• 2- 3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.

Essential Duties and Responsibilities

• Secures insurance authorization for all outpatient and diagnostic testing, consultation, and outpatient procedures.
• Schedules appointments and procedures, verifies medical appointments, and processes medical documentation.
• Coordinates the collection and submittal of additional insurance information from clinical/support staff.
• Escalates any authorization issues and coordinates peer-to-peer review.
• Coordinates with clinical team and communicates managed care requests via established work flows.
• Documents adequate and accurate records of insurance notes and authorizations.
• Answers telephones, routes calls to appropriate staff, takes accurate phone messages, and relays messages to staff.
• Follows-up with patients for return visits, missed appointments, and cancellations.

Knowledge/Skills/Abilities

• High school education or equivalent preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.
• Critical thinking skills needed.

(EOE DFW)

Job

Clerical/Administrative

Department

SFL PEDIATRICS-POMPANO-3100-461013

Job Status

Professional