Authorization Specialist – Fast-Paced Healthcare Access

Baptist Health; Florida; On-site; USD 26,000 - 33,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Customer service

Data entry

HIPAA compliance

Insurance terminology

Bilingual English/Spanish

Education

High School,Cert,GED

Tools

EMR systems

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.

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.