Care Coordination & Insurance Authorization Specialist

Westchester General Hospital; Sunset Corners (FL); On-site; USD 32,000 - 48,000; Full time

Job summary

Westchester General Hospital seeks a patient access/insurance verification clerk to verify and monitor patient benefits, obtain authorizations, and enter information into the computer.

This role involves communicating with physicians, maintaining insurance data, and supporting discharge planning and quality improvement efforts. Associate degree required; hospital admission experience preferred; bilingual English/Spanish desirable.

Qualifications

• Clear communication and listening with diverse populations.
• Ability to multitask and manage inquiries.
• Strong customer service orientation and problem solving.
• Bilingual English/Spanish is desirable.
• Familiarity with medical terminology and clinical workflows.
• Proficient data entry and computer skills.

Responsibilities

• Verifies and obtains all authorizations and necessary pre-certifications from insurance companies.
• Informs Supervisor about patients who are underinsured or without insurance.
• Performs verification of Medicare coverage and limits on all inpatient accounts.
• Communicates benefit information with the attending physician.
• Maintains accurate patient insurance information and updates records.
• Keeps informed of new registration procedures.

Skills

Clear communication

Multitasking

Customer service

Bilingual English/Spanish

Medical terminology

Data entry

Education

Associate Degree

Job description

Westchester General Hospital seeks a patient access/insurance verification clerk to verify and monitor patient benefits, obtain authorizations, and enter information into the computer.

This role involves communicating with physicians, maintaining insurance data, and supporting discharge planning and quality improvement efforts. Associate degree required; hospital admission experience preferred; bilingual English/Spanish desirable.