Authorization Associate 1, Business Clinic Office, FT, 10:30A - 7:00P
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. Estimated pay range for this position is $18.32 - $23.27 / hour depending on experience.
Requirements
- High School Diploma
- 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.
- Minimum Required Experience: 1 Year
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 to include, but not limited to, HIPAA, AHCA, EMTALA, etc. and Medicare coverage structure, including medical necessity compliance guidelines.
- 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.
- Meet individual quality metrics in a call center environment.
- Coordinate patient flow and timely processing.
- Maintain knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns.
- Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations.
- Provide professional, compassionate, and friendly service to patients of all ages, families, employees, physicians, and community members, practicing the Baptist Health philosophy of service excellence.
Benefits
- Career growth and development opportunities, with clear pathways and ongoing support
- Comprehensive health and wellness resources that go beyond traditional benefits
- A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
- Tuition reimbursement to support continued learning and advancement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
