Insurance Authorization & Scheduling Specialist

Pscfl; Pompano Beach (FL); On-site; USD 32,000 - 52,000; Full time

Job summary

Pscfl in Florida is seeking a Clerical/Administrative professional who will secure insurance authorizations for patients and handle pre-registration and scheduling for hospital visits and procedures.

The role requires 2–3 years of medical insurance and billing experience, with prior physician office or ambulatory setting preferred. Bilingual English/Spanish, excellent customer service and strong critical thinking are a plus.

Qualifications

• 2–3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.
• Bilingual English/Spanish preferred.

Responsibilities

• Secures insurance authorization for 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.

Skills

Customer service

Bilingual English/Spanish

Critical thinking

Education

High school diploma or equivalent

Job description

Pscfl in Florida is seeking a Clerical/Administrative professional who will secure insurance authorizations for patients and handle pre-registration and scheduling for hospital visits and procedures.

The role requires 2–3 years of medical insurance and billing experience, with prior physician office or ambulatory setting preferred. Bilingual English/Spanish, excellent customer service and strong critical thinking are a plus.