Pharmacy Infusion Care Prior Authorization Specialist, System Infusion Pharmacy HUB, FT, 8a-4:30p

Baptist Health; Florida; On-site; USD 50,000 - 65,000; Full time

Job summary

Baptist Health in Florida is seeking an Infusion Care Prior Authorization Specialist to obtain payor authorizations and coordinate referrals. You will manage patient records, communicate with payors, and support multiple sites with intake and approvals.

The role requires experience with payer requirements, strong communication, and the ability to work in a fast-paced environment, with proficiency in Cerner/Soarian and other EMR tools.

Qualifications

• Associates degree or pharmacy technician training required.
• Experience with payer authorization and medical terminology preferred.
• Strong communication and organizational skills are essential.

Responsibilities

• Obtain prior authorization from payors for infusion services.
• Route patient referrals to the appropriate department or individual.
• Establish and maintain accurate and complete patient records.
• Receive calls from new patients and referral sources and document communications.
• Coordinate intake and authorizations across multiple sites as assigned.

Skills

Prior authorization

Communication

Fast-paced environment

Attention to detail

Education

Associates

Tools

Cerner/Soarian

EMR

Outlook

MS Word

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.

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

Obtain prior authorization from payors. Route patient referrals to the appropriate department or individual(s). Establish and maintain accurate and complete patient records. Receive calls from new patients and referral sources and document all customer communications. Maintain a broad knowledge base concerning insurances, payor policies, and prescription medication in order to assist with the verification of insurance coverage for patients by obtaining all necessary information. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned.

Qualifications

Degrees:

• Associates.

Additional Qualifications

• Health Related Field, MA, or Registered Pharmacy Technician preferred.
• The Infusion Care Prior Authorization Specialist role requires critical thinking skills, effective communication, decisive judgement, and the ability to work with minimal supervision.
• The incumbent must be able to work in a fast-paced environment.
• The role requires payor medication authorization experience, as well as an understanding and knowledge of payer‘s requirements and expectations.
• Responsible for obtaining, coordinating, and processing information about new patients in a timely manner.
• Must have proficient computer skills including, EMR and electronic medical management system, outlook, and MS word, Cerner/Soarian experience preferred.
• Education and training in medical terminology preferred.

Minimum Required Experience: 2 Years

EOE, including disability/vets