Insurance Authorization & Scheduling Specialist

Nicklaus Children's Health System; Miami (FL); On-site; USD 32,000 - 42,000; Full time

Job summary

Nicklaus Children's Health System is seeking a clerical/administrative professional to secure insurance authorizations and perform pre-registration activities for hospital visits. The role supports scheduling of outpatient procedures and coordination with clinical staff to ensure smooth patient flow.

Responsibilities include verification of insurance details, processing documentation, and maintaining accurate records.

Qualifications

• 2-3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.
• Familiarity with insurance authorizations and scheduling processes is a plus.

Responsibilities

• Secures insurance authorization for outpatient and diagnostic testing, consultation, and procedures.
• Schedules appointments and procedures, verifies appointments, and processes documentation.
• Collects and submits additional insurance information from clinical staff.
• Escalates authorization issues and coordinates peer-to-peer review.
• Communicates managed care requests with the clinical team via workflows.
• 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 or canceled appointments.

Skills

Bilingual English/Spanish

Customer service

Critical thinking

Medical insurance & billing

Education

High school diploma or equivalent

Job description

Nicklaus Children's Health System is seeking a clerical/administrative professional to secure insurance authorizations and perform pre-registration activities for hospital visits. The role supports scheduling of outpatient procedures and coordination with clinical staff to ensure smooth patient flow.

Responsibilities include verification of insurance details, processing documentation, and maintaining accurate records.