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

Baptist Health South Florida•Remote, FL
•$19 - $24•Remote

About The Position

The Authorization Associate 1 requests, follows up on, obtains, and validates authorizations, referrals, and notifications using appropriate CPT and ICD-10 codes and meeting required timelines. The role works in a call-center-type environment and is responsible for meeting individual quality metrics. It coordinates patient flow and timely processing, and maintains knowledge of departmental, physician practice, and hospital practices to address patient questions and concerns. The associate also maintains knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations. The role provides professional, compassionate, and friendly service to patients of all ages, families, employees, physicians, and community members in keeping with the Baptist Health philosophy of service excellence. The position is remote and full-time, with a listed schedule of 8:30 a.m. to 5:00 p.m. Estimated pay is $18.69–$23.74 per hour, depending on experience.

Requirements

  • High school diploma, certificate, GED, training, or equivalent experience.
  • At least 1 year of experience validating or 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 and organized, with teamwork, compassion, excellent customer service, and interpersonal communication skills.

Nice To Haves

  • Knowledge of medical and insurance terminology.
  • Experience with computer applications such as Microsoft Office and EMR applications, and accurate typing skills.
  • Knowledge of regulatory guidelines including HIPAA, AHCA, and EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines.
  • Bilingual English and Spanish/Creole skills.

Responsibilities

  • Request, follow up on, obtain, and validate authorizations, referrals, and notifications using appropriate CPT and ICD-10 codes within required timelines.
  • Meet individual quality metrics in a call-center-type environment.
  • Coordinate patient flow and ensure timely processing.
  • Maintain knowledge of departmental, physician practice, and hospital practices to address patient questions and concerns.
  • Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations.
  • Provide professional, compassionate, and friendly service to patients, families, employees, physicians, and community members.

Benefits

  • Career growth and development opportunities, with clear pathways and ongoing support.
  • Comprehensive health and wellness resources.
  • A wellness program that can help employees eliminate their medical plan deductible.
  • Tuition reimbursement.
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