Job Title

The incumbent will be responsible to request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Radiation Oncology and/or Oncology Infusion. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics. Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members.

Qualifications

Degrees:

• High School Diploma is required.

Additional Qualifications:

• Associate's Degree preferred with 2 years of experience in validating/obtaining authorizations with insurance payers, or 3 years of experience in lieu of a degree.
• Association of Community Cancer Center, Prior Authorization On-Demand Webinars to be completed within 3 months of hire, and updated yearly education is required.
• Complete and pass the Patient Access training course.
• Ability to work in a fast-paced work environment and perform basic mathematical calculations.
• Desired: Knowledge of healthcare regulatory guidelines, including, but not limited to, HIPAA, AHCA, and EMTALA.
• Knowledge of authorization guidelines for Radiation Oncology/Oncology Infusion.
• Understanding of insurance contracts, medical terminology, authorizations, and pre-certifications.
• Working knowledge of the Microsoft Office products and EMR applications.
• Bilingual English, Spanish/Creole.

Minimum Required Experience: 2 years.

EOE, including disability/vets.