Authorization Coordinator - Pompano

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.

• 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.

High school education or equivalent preferred. Bilingual in English/Spanish preferred. Excellent customer service skills. Critical thinking skills needed. (EOE DFW)

Clerical/Administrative

NCPS PCC POMPANO-

Professional