Insurance Authorization & Scheduling Specialist

Nicklaus Children's Health System; Sunset Corners (FL); On-site; USD 36,000 - 48,000; Full time

Job summary

Nicklaus Children's Health System is seeking a Clerical/Administrative professional to secure insurance authorizations for outpatient services and to assist with pre-registration and scheduling. Responsibilities include scheduling, collecting insurance information, coordinating with clinical staff, and maintaining accurate records.

A bilingual English/Spanish ability, strong customer service, and critical thinking are preferred.

Qualifications

• 2-3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills and critical thinking needed.

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 messages, and relays messages to staff.
• Follows-up with patients for return visits, missed appointments, and cancellations.

Skills

Bilingual English/Spanish

Excellent customer service

Critical thinking

Education

High school diploma or equivalent

Job description

Nicklaus Children's Health System is seeking a Clerical/Administrative professional to secure insurance authorizations for outpatient services and to assist with pre-registration and scheduling. Responsibilities include scheduling, collecting insurance information, coordinating with clinical staff, and maintaining accurate records.

A bilingual English/Spanish ability, strong customer service, and critical thinking are preferred.