Authorization Coordinator & Patient Access, Case Management Department, Full Time, Job ID 1687695

Palmetto General Hospital • Hialeah, FL

18d

About The Position

The Authorization Coordinator & Patient Access is responsible for ensuring a seamless patient experience from initial contact through admission or scheduling, while securing timely and accurate insurance authorizations. This role serves as a critical link between patients, providers, payers, and hospital departments to support efficient operations, regulatory compliance, and optimal reimbursement.

Requirements

• Knowledge of medical terminology and insurance processes
• Strong attention to detail and communication skills
• Ability to multitask in a fast-paced healthcare environment
• Must clear background and drug test required.

Nice To Haves

• Hospital or acute care experience (preferred)
• CRCR, CHAA, or similar certification (preferred)
• Bilingual skills as applicable (preferred)

Responsibilities

• Greet patients and families in a courteous and professional manner
• Register patients accurately including demographics and insurance information
• Verify insurance eligibility and benefits
• Collect co-pays, deductibles, and other patient financial responsibilities
• Explain registration forms, consent documents, and patient rights
• Maintain HIPAA compliance and patient confidentiality
• Resolve registration errors and update patient records
• Coordinate admissions, discharges, and transfers as applicable
• Obtain prior authorizations and pre-certifications for services
• Review physician orders for completeness and medical necessity
• Communicate with insurance companies and managed care organizations
• Track authorization status and follow up to prevent delays or denials
• Document authorization numbers and payer communications
• Collaborating with clinical staff, case management, and billing
• Assist in denial prevention by ensuring payer compliance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED