Insurance Authorization & Scheduling Specialist

Nicklaus Children's Health System; Ohio; Sur place; USD 25 000 - 30 000; Plein temps

Résumé du poste

Nicklaus Children’s Health System is seeking a Clerical/Administrative professional to secure insurance authorizations and manage pre-registration and scheduling for hospital visits and procedures. The role involves coordinating with clinical staff, handling insurance documentation, and ensuring accurate records.

The ideal candidate will have a high school diploma or equivalent, strong customer service skills, and the ability to communicate effectively in English and Spanish.

Qualifications

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

Responsabilités

• Secures insurance authorization for outpatient and diagnostic testing, consultations, and outpatient procedures.
• Schedules appointments and procedures, verifies appointments, and processes documentation.
• Coordinates collection and submittal of insurance information from clinical/support staff.
• Escalates authorization issues and coordinates peer-to-peer review.
• Coordinates with clinical team and communicates managed care requests via workflows.
• Documents accurate insurance notes and authorizations.
• Answers telephones, routes calls, takes messages, and relays to staff.
• Follows up with patients for return visits, missed appointments, and cancellations.

Connaissances

Customer service

Critical thinking

Bilingual English/Spanish

Formation

High school diploma or equivalent

Description du poste

Nicklaus Children’s Health System is seeking a Clerical/Administrative professional to secure insurance authorizations and manage pre-registration and scheduling for hospital visits and procedures. The role involves coordinating with clinical staff, handling insurance documentation, and ensuring accurate records.

The ideal candidate will have a high school diploma or equivalent, strong customer service skills, and the ability to communicate effectively in English and Spanish.