Oncology Authorization Coordinator

🕒 vor 3 Tagen

🐊 Florida – Remote

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💵 $20 - $26 / Stunde

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Baptist Health

Baptist Health

10.000+ Mitarbeiter

🏥 Gesundheitswesen

🤝 Non-Profit

Healthcare • Non-profit

Baptist Health ist die größte gemeinnützige Gesundheitsorganisation in Südflorida. Es betreibt 12 Krankenhäuser mit mehr als 29. 000 Mitarbeitern, 4. 500 Ärzten und ungefähr 200 ambulanten Zentren, Notfallpflegeeinrichtungen und Arztpraxen in den Bezirken Miami-Dade, Monroe, Broward und Palm Beach. Das System umfasst renommierte Exzellenzzentren für Krebs, Herz- und Gefäßmedizin, Gehirn- und Wirbelsäulenpflege sowie Orthopädie und wird durch Philanthropie und eine glaubensbasierte Mission unterstützt. Baptist Health legt Wert auf klinische Qualität, Patientensicherheit, Mitarbeiterentwicklung und gemeindeorientierte Pflege.

Beschreibung

• Request, follow up, obtain, and validate authorizations, referrals, and notifications with appropriate CPT and ICD-10 codes within required timelines • Support Radiation Oncology and/or Oncology Infusion • Work in a call center-type environment and meet individual quality metrics • Coordinate patient flow and ensure timely processing • Maintain knowledge and deploy practices used within the department, physician practice, and hospital to address patient questions or concerns • Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations • Provide professional, compassionate, and friendly service to patients of all ages, families, employees, physicians, and community members

🎯 Anforderungen

• High School, Cert, GED, Trn, Exper. • External staff: Associates Degree preferred with 3 years experience in validating/obtaining authorizations with insurance payers, or 4 years experience in lieu of degree • Association of Community Cancer Center, Prior Authorization On-Demand Webinars to be completed within 3 months of hire, and updated yearly education required • Complete and pass the Patient Access training course • Ability to work in a fast-paced work environment • Ability to perform basic mathematical calculations • Desired: Knowledge of healthcare regulatory guidelines including HIPAA, AHCA, EMTALA • Knowledge of authorization guidelines for Radiation Oncology/Oncology Infusion • Understanding of insurance contracts, medical terminology, authorizations and pre-certifications • Working knowledge of Microsoft Office products and EMR applications • Bilingual English, Spanish/Creole • Internal staff: minimum of 3 years experience in validating/obtaining authorizations and demonstrated ability to independently perform all Level 1 functions • Internal staff: Meets/exceeds all Individual Performance Standards for at least the most recent 6 months • Internal staff: Exceeds departmental KPIs and is cross trained in multiple areas/product lines to substitute all staff positions as needed

🏖️ Vorteile

• Career growth and development opportunities, with clear pathways and ongoing support • Comprehensive health and wellness resources • Wellness program that can help employees eliminate their medical plan deductible • Tuition reimbursement • And so much more

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