Oncology Authorization Coordinator, WCI 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 for Radiation Oncology and/or Oncology Infusion. 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, Cert, GED, Trn, Exper.
- 3 years experience in validating/obtaining authorizations with insurance payers, or 4 years experience in lieu of degree.
- Association of Community Cancer Center, Prior Authorization On-Demand Webinars to be completed within 3 months of hire, and updated yearly education required.
- Complete and pass the Patient Access training course.
- Ability to work in a fast-paced work environment and perform basic mathematical calculations.
- Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA.
- Knowledge of authorization guidelines for Radiation Oncology/Oncology Infusion.
- Understanding of insurance contracts, medical terminology, authorizations and pre-certifications.
- Working knowledge of the Microsoft Office products and EMR applications.
- Bilingual English, Spanish/Creole.
- Minimum Required Experience: 3 Years
Nice To Haves
- Associates Degree preferred
Responsibilities
- Request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Radiation Oncology and/or Oncology Infusion.
- Meet individual quality metrics in a call center type 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.
- Practice 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.
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
Mid Level
Education Level
High school or GED
