Scheduling & Authorization Coordinator (Per Diem, Days)

Nicklaus Children's Health System; Miami (FL); On-site; USD 45,000 - 60,000; Full time

Job summary

Nicklaushealth in Miami is seeking a professional to secure insurance authorizations and manage pre-registration for hospital visits. The role involves coordinating appointments and handling documentation effectively.

The ideal candidate should have 2-3 years of medical insurance experience and strong customer service skills. Bilingual abilities in English and Spanish are preferred. This position plays a vital role in ensuring seamless patient visits and maintaining accurate records.

Qualifications

• 2-3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.
• Bilingual in English/Spanish preferred.

Responsibilities

• Secures insurance authorization for all outpatient and diagnostic testing.
• Schedules appointments and procedures and verifies medical appointments.
• Coordinates the collection of additional insurance information.
• Escalates authorization issues and coordinates peer-to-peer review.
• Documents accurate records of insurance notes and authorizations.

Skills

Medical insurance and billing experience

Customer service skills

Bilingual in English/Spanish

Critical thinking skills

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 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.

Knowledge, Skills, and Abilities

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

(EOE DFW)