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

Baptist Health; Florida; Vor Ort; USD 26.000 - 33.000; Vollzeit

Zusammenfassung

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.

The incumbent will request, follow-up, obtain, and validate authorizations/referrals with CPT and ICD-10 codes in a call center environment, while meeting quality metrics.

Qualifikationen

• Minimum 1 year experience 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.
• Detail oriented, organized, team player, compassionate, and customer focused.
• Knowledge of medical and insurance terminology.

Aufgaben

• Request, follow-up, obtain, and validate authorizations/referrals/notifications with CPT and ICD-10 codes.
• Work in a call center type environment and meet quality metrics.
• Coordinate patient flow, timely processing, and address questions or concerns.
• Maintain knowledge of insurance requirements and revenue cycle operations.

Kenntnisse

Customer service

Data entry

HIPAA compliance

Insurance terminology

Bilingual English/Spanish

Ausbildung

High School,Cert,GED

Tools

EMR systems

Microsoft Office

Jobbeschreibung

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

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
• And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description

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 $18.69 - $23.74 / hour depending on experience.

Qualifications

Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications

• 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.
• Desired: 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.

Minimum Required Experience: 1 Year

EOE, including disability/vets