Authorization Coordinator - Pompano Beach (Full Time, Days)

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 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.