Authorization Associate, MNI NonSurg Spine Pembroke Pines, FT, 8:00am - 4:30pm

Baptist Health; Florida; On-site; USD 26,000 - 34,000; Full time

Job summary

Baptist Health is seeking a patient access specialist to request, follow up, obtain and validate authorizations with CPT/ICD-10 codes. The role requires working in a high-volume call center and meeting quality metrics while guiding patient flow and departmental processes.

Training and cross-functional collaboration are emphasized. The position emphasizes knowledge of insurance requirements, pricing, financial assistance, and Revenue Cycle operations, with a focus on compassionate service to

Qualifications

• Two years in validating/obtaining authorizations with insurance payers.
• Ability to work in a high-volume, fast-paced environment.
• Must complete and pass the Patient Access training course.
• Knowledge of HIPAA, AHCA, EMTALA, Medicare structure and medical necessity.
• Understanding of insurance contracts, collections and pre-certifications.

Responsibilities

• Request, follow-up, obtain and validate authorizations/referrals/notifications with CPT/ICD-10 codes.
• Operate in a call center type environment and meet quality metrics.
• Coordinate patient flow and timely processing within department workflows.
• Maintain knowledge of pricing, financial assistance and Revenue Cycle operations.
• Support go-lives, onboarding and training of team members; participate in committees.

Skills

Customer service

Interpersonal communication

Detail oriented

Organizational skills

Team player

Bilingual

Education

Associates Degree preferred

High School Diploma or equivalent

Tools

EMR applications

Microsoft Office

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 our 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.

Benefits

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. Assist in supporting go lives and different departmental initiatives, including onboarding and training team members. Participate in departmental committees/champion opportunities. 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 $19.83 - $25.18 / hour depending on experience.

Qualifications

Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications

• For internal staff: A minimum of 2 years experience in validating/obtaining authorizations with insurance payers and has demonstrated the ability to independently perform all functions within the Level 1 job description.
• Meets/exceeds all Individual Performance Standards for at least the most recent 6 months.
• Exceeds departmental KPIs and is cross trained in multiple areas/product lines to substitute all staff positions as needed.
• For external staff: Associates Degree preferred with 2 years experience in validating/obtaining authorizations with insurance payers, or 3 years experience in lieu of degree.
• Complete and pass the Patient Access training course.
• Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills.
• Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, Medicare coverage structure, including medical necessity compliance guidelines.
• Understanding of insurance contracts, collections, authorizations, and pre-certifications, Microsoft Office products, and EMR applications, etc.
• Knowledge of medical terminology.
• Bilingual English, Spanish/Creole preferred.

Minimum Required Experience: 2 Years
EOE, including disability/vets