Pediatric Insurance Auth Specialist & Care Coordinator

Nicklaus Children's Health System; Pompano Beach (FL); On-site; USD 32,000 - 46,000; Full time

Job summary

Nicklaus Children’s Health System in Florida seeks an administrative professional to secure insurance authorizations for outpatient services and to handle pre-registration and scheduling for hospital visits. You will verify appointments, collect insurance information, and maintain accurate documentation.

The role emphasizes high-quality customer service, coordination with the clinical team, and escalation of any authorization issues.

Qualifications

• 2-3 years of medical insurance and billing experience preferred.
• High school education or equivalent preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.

Responsibilities

• Secures insurance authorization for outpatient services and procedures.
• Schedules appointments and verifies medical appointments and documentation.
• Coordinates collection and submission of additional insurance information.
• Escalates authorization issues and coordinates peer-to-peer review.
• Coordinates with clinical team and communicates management care requests.
• 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 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 in Florida seeks an administrative professional to secure insurance authorizations for outpatient services and to handle pre-registration and scheduling for hospital visits. You will verify appointments, collect insurance information, and maintain accurate documentation.

The role emphasizes high-quality customer service, coordination with the clinical team, and escalation of any authorization issues.