[Hiring] Lead Oncology Authorization Coordinator @Baptist Health South Florida

Role Description

Exemplary teamwork, service, and overall knowledge of BHSF Revenue Cycle, from a Patient Access perspective. This position is for those individuals who will serve as a preceptor for new hires. The incumbent will be responsible for:

• Requesting, following-up, obtaining, and validating authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Oncology Radiation/Infusion.
• Working in a call center type environment and meeting individual quality metrics.
• Coordinating patient flow and timely processing.
• Maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns.
• Serving as an authorization resource and taking on a leadership role in the absence of a Manager/Supervisor.
• Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations.
• Assisting in supporting go-lives and different departmental initiatives.
• Participating in departmental committees/champion opportunities.

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.

Estimated pay range for this position is $22.32 - $28.35 / hour depending on experience.

Qualifications

• Degrees: High School, Cert, GED, Trn, Exper.
• For internal staff: A minimum of 4 years experience in validating/obtaining authorizations.
• Meets/exceeds all Individual Performance Standards for at least the most recent 12 months.
• Exceeds department KPIs.
• Assists 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 years experience in validating/obtaining authorizations or 5 years experience 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 & perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service & interpersonal communication skills.
• Desired: Authorization guidelines for Oncology Radiation/Infusion knowledge.
• Leadership experience preferred.
• Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, Medicare coverage structure, medical necessity compliance guidelines.
• Working knowledge of insurance contracts, & authorization/pre-certifications.
• Microsoft Office products, EMR applications, etc.
• Knowledge of medical terminology.
• Bilingual English, Spanish/Creole preferred.

Requirements

• Minimum Required Experience: 4 Years

Benefits

• Career growth and development opportunities, with clear pathways and ongoing support.
• Comprehensive health and wellness resources that go beyond traditional benefits.
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs.
• Tuition reimbursement to support continued learning and advancement.
• And so much more.