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

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 $18.32 - $23.27 / hour depending on experience.

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