Lead Oncology Authorization Coordinator

🕒 October 15

🐊 Florida – Remote

🐊 Florida – Remote

💵 $22 - $28 / hour

⏰ Full Time

🟠 Senior

👻 Ghost score 2%

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Baptist Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Baptist Health is the region's largest not-for-profit healthcare organization in South Florida. It operates 12 hospitals, more than 29,000 employees, 4,500 physicians, and roughly 200 outpatient centers, urgent care facilities, and physician practices across Miami-Dade, Monroe, Broward, and Palm Beach counties. The system includes renowned centers of excellence in cancer, heart and vascular, brain and spine, and orthopedic care, and is supported by philanthropy and a faith-based mission. Baptist Health emphasizes clinical quality, patient safety, staff development, and community-oriented care.

📋 Description

• Serve as a preceptor for new hires. • Request, follow up on, obtain, and validate authorizations, referrals, and notifications with appropriate CPT and ICD-10 codes within appropriate timelines for Oncology Radiation/Infusion. • Work in a call center-type environment and meet individual quality metrics. • Coordinate patient flow and timely processing. • Maintain knowledge and deploy practices used within the department, physician practice, and hospital to address patient questions or concerns. • Serve as an authorization resource and take on a leadership role in the absence of a Manager/Supervisor. • Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations. • Assist in supporting go-lives and departmental initiatives. • Participate in departmental committees/champion opportunities. • Provide professional, compassionate, and friendly service to patients of all ages, families, employees, physicians, and community members.

🎯 Requirements

• High School, Cert, GED, Trn, Exper. • Minimum required experience: 4 years • For internal staff: A min of 4 yrs exp in validating/obtaining authorizations. • Meets/exceeds all Individual Performance Standards for at least the most recent 12 months. • Exceeds department KPIs. • Assist co-workers and precepts new hires. • Cross trained in multiple areas/product lines/practices to substitute all staff positions as needed. • For external staff: AA Degree preferred with 4 yrs exp in validating/obtaining authorizations or 5 yrs exp in lieu of degree. • Prior Authorization On-Demand Webinars to be completed within 3 months of hire, & updated yearly education required. • Complete & pass the Patient Access training course. • Ability to work in a high volume, fast-paced work environment and perform basic mathematical calculations. • Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills. • Desired: Authorization guidelines for Oncology Radiation/Infusion knowledge. • Leadership experience preferred. • Knowledge of healthcare regulatory guidelines including HIPAA, AHCA, EMTALA, Medicare coverage structure, and medical necessity compliance guidelines. • Working knowledge of insurance contracts and authorization/pre-certifications. • Microsoft Office products and EMR applications. • Knowledge of medical terminology. • Bilingual English, Spanish/Creole preferred.

🏖️ Benefits

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

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