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

Miami Children’s Hospital; Miami, Northern (FL, KY); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Miami Children’s Hospital is seeking a Scheduling/Authorization Coordinator for NCPS PCC Main. The role secures insurance authorizations for outpatient services and manages pre-registration and scheduling for visits and procedures.

The ideal candidate has 2–3 years of medical insurance and billing experience; hospital or ambulatory care experience is preferred. Strong attention to detail and communication are essential to coordinate authorizations and patient scheduling.

Qualifications

• 2–3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.
• High school education or equivalent preferred.

Responsibilities

• Secures insurance authorization for outpatient services, diagnostic testing, consultations and procedures.
• Schedules appointments and procedures, verifies appointments, and processes medical documentation.
• Coordinates gathering and submission of insurance information from clinical staff.
• Escalates authorization issues and coordinates peer-to-peer reviews.
• Communicates managed care requests with the clinical team through established workflows.
• Maintains accurate records of insurance notes and authorizations.
• Answers phones, routes calls, takes messages, and relays information to staff.
• Follows up with patients for return visits, missed appointments and cancellations.

Skills

Medical insurance

Billing

Scheduling

Communication

Education

High school diploma or equivalent

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)