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
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