Insurance Authorization & Scheduling Specialist

Nicklaus Children's Health System; Miami (FL); On-site; USD 34,000 - 52,000; Full time

Job summary

Nicklaus Children's Health System is seeking a clerical/administrative professional to manage insurance authorizations for patients and support pre-registration and scheduling for hospital visits.

The role requires 2-3 years of medical insurance and billing experience, with preference for prior physician office or ambulatory settings. Bilingual English/Spanish is a plus, along with excellent customer service and strong attention to detail.

Qualifications

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

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 workflows.
• Documents adequate and accurate records of insurance notes and authorizations.
• Answers telephones, routes calls to appropriate staff, takes accurate messages, and relays messages to staff.
• Follows-up with patients for return visits, missed appointments, and cancellations.

Skills

Medical billing

Insurance authorizations

Scheduling

Customer service

Bilingual English/Spanish

Education

High school diploma or equivalent

Job description

Nicklaus Children's Health System is seeking a clerical/administrative professional to manage insurance authorizations for patients and support pre-registration and scheduling for hospital visits.

The role requires 2-3 years of medical insurance and billing experience, with preference for prior physician office or ambulatory settings. Bilingual English/Spanish is a plus, along with excellent customer service and strong attention to detail.