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

Nicklaushealth; Miami (FL); On-site; USD 38,000 - 48,000; Full time

Job summary

Nicklaushealth in Miami seeks an Administrative Clerk to secure insurance authorizations for patients and handle pre-registration and scheduling for visits and procedures.

You will verify appointments, coordinate insurance information, escalate authorization issues, and maintain accurate records, with bilingual English/Spanish preferred.

Qualifications

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

Responsibilities

• Secures insurance authorization for outpatient and diagnostic testing, consultations, 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 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 education or equivalent

Job description

Job Summary

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

Minimum Job Requirements

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

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.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.
• Critical thinking skills needed.

(EOE DFW)

Job: Clerical/Administrative

Job Status: Professional