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

Baptist Health; Miami (FL); On-site; USD 26,000 - 32,000; Full time

Benefits offered by this job

Tuition reimbursement

Health and wellness resources

Wellness program that reduces medical\

Job summary

Baptist Health in Miami is seeking a Patient Access Specialist to request, follow up, obtain, and validate authorizations/referrals with CPT and ICD-10 codes, within timelines.

You will work in a call center environment, meeting quality metrics and coordinating patient flow, while staying current on insurance requirements and Revenue Cycle operations. Bilingual English, Spanish/Creole preferred.

Qualifications

• High School Diploma is required.
• Minimum 1 year experience in validating/obtaining authorizations with insurance payers.
• 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.
• Knowledge of medical and insurance terminology is preferred.
• Experience with computer applications (e.g., Microsoft Office, EMR) and accurate typing skills.
• Knowledge of regulatory guidelines (HIPAA, AHCA, EMTALA, etc.).
• Bilingual English, Spanish/Creole preferred.

Responsibilities

• Request, follow-up, obtain, and validate authorizations/referrals/notifications with CPT and ICD-10 codes within timelines.
• Work in a call center type environment and meet individual quality metrics.
• Coordinate patient flow and timely processing while maintaining knowledge of practices used within the department/physician practice/hospital.
• Maintain knowledge of insurance requirements, pricing, financial assistance options, and overall Revenue Cycle operations.

Skills

Customer service

Interpersonal communication

Detail oriented

Team player

Compassionate

Communication

Education

High School Diploma

Tools

Microsoft Office

EMR applications

Typing skills

Job description

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 create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.

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:

• 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 Diploma is required.

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