Scheduling & Authorization Coordinator (Per Diem, Days)

Job Description - Scheduling & Authorization Coordinator (Per Diem, Days) (301633)

Job Description

Scheduling & Authorization Coordinator (Per Diem, Days) -301633

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.

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.

• Bilingual in English/Spanish preferred.

• Excellent customer service skills.

• Critical thinking skills needed.

(EOE DFW)

Job

: Clerical/Administrative

Primary Location

: Florida-Miami-Nicklaus Children''s Hospital - Main Hospital Campus

Department

: OR ADMINISTRATION-2100-760950

Shift

: Days

Job Status: Pool