Scheduling & Authorization Coordinator (Per Diem, Days)

Nicklaus Children's Hospital
  • Miami, FL
    30+ days ago

    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)

    Numbers & Facts

    LocationMiami, FL

    Skills

    • Billingunmatched
    • Calendar Managementunmatched
    • Clinical Informationunmatched
    • Clinical Supportunmatched
    • Communication Skillsunmatched
    • Customer Support/Serviceunmatched
    • Documentationunmatched
    • English Languageunmatched
    • Health Insuranceunmatched
    • Hospitalunmatched
    • Insuranceunmatched
    • Managed Careunmatched
    • Medical Officeunmatched
    • Medical Treatmentunmatched
    • Multilingualunmatched
    • Organizational Skillsunmatched
    • Outpatient Careunmatched
    • Patient Follow-upunmatched
    • Spanish Languageunmatched

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