Authorization Associate 1, Business Clinic Office, FT, 10:30A - 7:00P

Baptist Health South Florida

2d

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. Assist in supporting go lives and different departmental initiatives, including onboarding and training team members. Participate in departmental committees/champion opportunities. 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 is required.
• Associates Degree preferred with 2 years experience in validating/obtaining authorizations with insurance payers, or 3 years experience in lieu of degree.
• Complete and pass the Patient Access training course.
• Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills.
• Minimum Required Experience: 2 Years

Nice To Haves

• Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, Medicare coverage structure, including medical necessity compliance guidelines.
• Understanding of insurance contracts, collections, authorizations, and pre-certifications, Microsoft Office products, and EMR applications, etc.
• Knowledge of medical terminology.
• Bilingual English, Spanish/Creole preferred.

Responsibilities

• request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines
• responsible for meeting individual quality metrics
• 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
• Assist in supporting go lives and different departmental initiatives, including onboarding and training team members
• Participate in departmental committees/champion opportunities
• 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.

What This Job Offers

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