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

Nicklaushealth; Sunset Corners (FL); On-site; USD 35,000 - 48,000; Full time

Job summary

Nicklaushealth in Florida is seeking a Clerical/Administrative professional responsible for securing insurance authorizations and pre-registration tasks for hospital visits and procedures.

The role includes scheduling, verifying appointments, coordinating insurance information, and ensuring accurate documentation while supporting the clinical team and patients with timely communications.

Qualifications

• High school education or equivalent preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.
• Critical thinking skills needed.

Responsibilities

• Secures insurance authorization for outpatient and diagnostic testing, consultation, and procedures.
• Schedules appointments and procedures, verifies medical appointments, and processes medical documentation.
• Coordinates collection and submission of additional insurance information from staff.
• Escalates authorization issues and coordinates peer-to-peer review.
• Coordinates with clinical team and communicates managed care requests via workflows.
• Documents accurate insurance notes and authorizations.
• Answers phones, routes calls, and relays messages to staff.
• Follow-ups with patients for return visits, missed appointments, and cancellations.

Skills

Bilingual in English/Spanish

Excellent customer service skills

Critical thinking

Education

High school diploma 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