Authorization Associate 2

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $19 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• Request, follow up on, obtain, and validate authorizations, referrals, and notifications with appropriate CPT and ICD-10 codes within required timelines • Work in a call center environment and meet individual quality metrics • Coordinate patient flow and process work in a timely manner • 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 • Support go-lives and departmental initiatives • Assist with onboarding and training team members • Participate in departmental committees and champion opportunities • Provide professional, compassionate, and friendly service to patients, families, employees, physicians, and community members

🎯 Requirements

• High School, Cert, GED, Trn, Exper. • External staff: Associates Degree preferred with 2 years experience in validating/obtaining authorizations with insurance payers, or 3 years experience in lieu of degree • Internal staff: Minimum of 2 years experience in validating/obtaining authorizations with insurance payers and ability to independently perform all functions within the Level 1 job description • 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 (internal staff) • 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 • Knowledge of healthcare regulatory guidelines including HIPAA, AHCA, EMTALA, and Medicare coverage structure and medical necessity compliance guidelines (desired) • Understanding of insurance contracts, collections, authorizations, pre-certifications, Microsoft Office products, and EMR applications • Knowledge of medical terminology • Bilingual English, Spanish/Creole preferred • Minimum required experience: 2 years

🏖️ Benefits

• 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