Note: The job is a remote job and is open to candidates in USA. Baptist Health is the region’s largest not-for-profit healthcare organization, and they are seeking an Authorization Associate 1. The role involves requesting and validating authorizations while coordinating patient flow and maintaining knowledge of insurance requirements and revenue cycle operations.
Responsibilities
- Request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines
- Be in a call center type environment and responsible for meeting individual quality metrics
- Coordinate patient flow
- Timely processing
- Maintain knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns
- Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations
- Provide professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members
Skills
- High School, Cert, GED, Trn, Exper
- 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
- 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
- Knowledge of medical and insurance terminology
- Bilingual English, Spanish/Creole preferred
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