Authorization Associate 1, Remote, Patient Access Bus. Office, FT, 08:30A-5P

Baptist Health South Florida • FL

82d • $18 - $22

About The Position

The incumbent will be responsible to request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics. Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members.

Requirements

• High School diploma or equivalent (Cert, GED, Trn, Exper).
• A minimum of 1 year experience in validating/obtaining authorizations with insurance payers.
• Complete and pass the Patient Access training course.
• Ability to work in a high volume, fast-paced work environment.
• Ability to perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills.

Nice To Haves

• Knowledge of medical and insurance terminology.
• Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills.
• Knowledge of regulatory guidelines including HIPAA, AHCA, EMTALA, etc.
• Knowledge of Medicare coverage structure, including medical necessity compliance guidelines.
• Bilingual in English and Spanish/Creole.

Responsibilities

• Request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes.
• Meet individual quality metrics in a call center environment.
• Coordinate patient flow and timely processing.
• Maintain knowledge of practices used within the department/physician practice/hospital.
• Address patient questions or concerns.
• Maintain knowledge of insurance requirements, BHSF pricing, and financial assistance options.
• Support overall BHSF Revenue Cycle operations.
• Provide professional, compassionate, and friendly service to patients, families, employees, physicians, and community members.

Benefits

• Salary ranges from $18.32 - $22.17 depending on years of experience.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees