Oncology Authorization Coordinator

🔥 6 minutes ago

🐊 Florida – Remote

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💵 $20 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of Baptist Health

Baptist Health

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, 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

🎯 Requirements

• 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

🏖️ 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 • And so much more

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