About The Position

Responsible for securing insurance authorizations for patients and performing pre-registration and scheduling functions for hospital visits and procedures.

Requirements

  • 2–3 years of medical insurance and billing experience required.
  • Excellent customer service skills.
  • Critical thinking skills.

Nice To Haves

  • Previous physician office or ambulatory experience preferred.
  • High school education or equivalent preferred.
  • Bilingual in English and Spanish preferred.

Responsibilities

  • Secure insurance authorization for outpatient and diagnostic testing, consultations, and outpatient procedures.
  • Schedule appointments and procedures, verify medical appointments, and process medical documentation.
  • Coordinate the collection and submission of additional insurance information from clinical and support staff.
  • Escalate authorization issues and coordinate peer-to-peer reviews.
  • Coordinate with the clinical team and communicate managed care requests through established workflows.
  • Document adequate and accurate records of insurance notes and authorizations.
  • Answer telephones, route calls to appropriate staff, take accurate phone messages, and relay messages to staff.
  • Follow up with patients regarding return visits, missed appointments, and cancellations.
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