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

Miami Children’s Hospital; Miami (FL); On-site; USD 38,000 - 48,000; Full time

Job summary

Miami Children’s Hospital seeks a Scheduling/Authorization Coordinator for NCPS PCC Main. The role involves securing insurance authorizations and handling pre-registration and scheduling for hospital visits and procedures.

Candidates should have 2–3 years of medical insurance and billing experience, with preferred experience in a physician office or ambulatory setting. Responsibilities include coordinating with clinical staff, ensuring accurate records, answering calls, and following up on

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.
• Schedules appointments and procedures and verifies patient details.
• Coordinates collection and submission of additional insurance information.
• Escalates authorization issues and coordinates peer-to-peer review.
• Communicates managed care requests with the clinical team per workflows.
• Maintains adequate records of insurance notes and authorizations.
• Answers phones and routes calls to staff; takes messages.
• Follows up with patients for returns, cancellations, and missed appointments.

Skills

Insurance authorization

Scheduling

Pre-registration

Phone coordination

Education

High school diploma

Job description

Job Description - Scheduling/Authorization Coordinator - NCPS - PCC Main (Full Time, Days) (28607)

Job Description

Scheduling/Authorization Coordinator - NCPS - PCC Main (Full Time, Days) - 28607

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)