Scheduling/Authorization Coordinator - NCPS - Galloway (Full Time, Days)

Nicklaus Children's; Miami (FL); On-site; USD 42,000 - 60,000; Full time

Job summary

Nicklaus Children's is seeking a Scheduling/Authorization Coordinator for NCPS in Galloway. This full-time day role handles insurance authorizations, pre-registration, and scheduling for hospital visits and procedures. You should have 2-3 years of medical insurance and billing experience; physician office or ambulatory experience is preferred.

Strong organizational and communication skills are essential. Join a dedicated team at a leading pediatric hospital and contribute to smooth patient

Qualifications

• 2-3 years of medical insurance and billing experience.
• Previous physician office or ambulatory experience 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 workflows.
• 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

Critical thinking

Education

High school education or equivalent

Job description

Job Description - Scheduling/Authorization Coordinator - NCPS - Galloway (Full Time, Days) (302300)

Job Description

Scheduling/Authorization Coordinator - NCPS - Galloway (Full Time, Days) - 302300

Description

Job Summary

Responsible for securing insurance authorizations for patients and performs pre-registration and scheduling functions for hospital visits and procedures.

2- 3 years of medical insurance and billing experience required.

Previous physician office or ambulatory experience preferred.

Qualifications

Essential Duties and Responsibilities

Secures insurance authorization for all 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.

Knowledge/Skills/Abilities

High school education or equivalent preferred.

Critical thinking skills needed.

(EOE DFW)