Lead Oncology Authorization Coordinator, Business Clinic Office, FT, 10:30A - 7:00P

Baptist Health South Florida • Remote, FL

8h • $22 - $28

About The Position

The Lead Oncology Authorization Coordinator supports exemplary teamwork, service, and knowledge of Baptist Health South Florida Revenue Cycle from a Patient Access perspective. The role serves as a preceptor for new hires and is responsible for requesting, following up on, obtaining, and validating authorizations, referrals, and notifications for Oncology Radiation and Infusion, with appropriate CPT and ICD-10 codes and within required timelines.

This position works in a call center-type environment and is responsible for meeting individual quality metrics. It coordinates patient flow and timely processing, maintains knowledge of departmental, physician-practice, and hospital practices to address patient questions or concerns, and serves as an authorization resource. The coordinator takes on a leadership role in the absence of a Manager or Supervisor, maintains knowledge of insurance requirements, Baptist Health pricing, financial assistance options, and Revenue Cycle operations, and assists with go-lives and departmental initiatives. The role also participates in departmental committees and champion opportunities and provides professional, compassionate, and friendly service to patients of all ages, families, employees, physicians, and community members.

Requirements

• For internal staff: At least 4 years of experience validating or obtaining authorizations.
• For internal staff: Meet or exceed all individual performance standards for at least the most recent 12 months and exceed department KPIs.
• For internal staff: Assist coworkers, precept new hires, and be cross-trained in multiple areas, product lines, or practices to substitute for staff positions as needed.
• For external staff: Associate degree preferred with 4 years of experience validating or obtaining authorizations, or 5 years of experience in lieu of a degree.
• Complete Prior Authorization On-Demand Webinars within 3 months of hire and complete updated education yearly.
• Complete and pass the Patient Access training course.
• Ability to work in a high-volume, fast-paced environment and perform basic mathematical calculations.
• Detail-oriented, organized team player with compassion and excellent customer service and interpersonal communication skills.
• Knowledge of healthcare regulatory guidelines, including HIPAA, AHCA, EMTALA, Medicare coverage structure, and medical necessity compliance guidelines.
• Working knowledge of insurance contracts and authorization/pre-certification processes.
• Knowledge of Microsoft Office products and EMR applications.
• Knowledge of medical terminology.
• Minimum required experience: 4 years.

Nice To Haves

• Associate degree for external candidates.
• Knowledge of authorization guidelines for Oncology Radiation and Infusion.
• Prior leadership experience.
• Bilingual English and Spanish or Creole.

Responsibilities

• Request, follow up on, obtain, and validate authorizations, referrals, and notifications for Oncology Radiation and Infusion using appropriate CPT and ICD-10 codes within required timelines.
• Serve as a preceptor for new hires.
• Meet individual quality metrics.
• Coordinate patient flow and timely processing.
• Maintain knowledge of departmental, physician-practice, and hospital practices to address patient questions or concerns.
• Serve as an authorization resource and take on a leadership role in the absence of a Manager or Supervisor.
• Maintain knowledge of insurance requirements, Baptist Health pricing, financial assistance options, and Baptist Health Revenue Cycle operations.
• Assist in supporting go-lives and departmental initiatives.
• Participate in departmental committees and champion opportunities.
• 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.

What This Job Offers

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