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Authorization Coordinator - Pompano Beach (Full Time, Days)
Nicklaus Children's Health System
Pompano Beach, USA
Full-time
Entry · 2+ years experience
Onsite
Discovered 1 months ago
Full Job Posting
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 And Skills And Abilities
- High school education or equivalent preferred.
- Bilingual in English/Spanish preferred.
- Excellent customer service skills.
- Critical thinking skills needed.
About Nicklaus Children's Health System
Hospitals & Health Systems4700 employeesFounded 1950
A pediatric healthcare network providing comprehensive medical services.
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