Scheduling & Authorization Coordinator (Per Diem, Days)

Nicklaus Children's Health System; Miami (FL); On-site; USD 40,000 - 55,000; Full time

Job summary

Nicklaus Children's Health System in Miami is seeking a detail-oriented individual for securing insurance authorizations and managing patient scheduling for hospital visits and procedures.

The ideal candidate will possess 2-3 years of medical insurance and billing experience, excellent customer service, and must be bilingual in English and Spanish. Join our team to contribute positively to patient care.

Qualifications

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

Responsibilities

• Secures insurance authorization for all outpatient and diagnostic testing.
• Schedules appointments and procedures, verifies medical appointments.
• Coordinates the collection and submittal of additional insurance information.

Skills

Medical insurance and billing experience

Customer service skills

Critical thinking skills

Bilingual in English/Spanish

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.

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.

Qualifications

• 2-3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.
• High school education or equivalent preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.
• Critical thinking skills needed.

Job Information

Clerical/Administrative

Department: OR ADMINISTRATION-2100-760950

Job Status: Professional

EEO DFW