Authorization Associate 1, Business Clinic Office, FT, 10:30A - 7:00P
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.
Benefits
- Career growth and development opportunities, with clear pathways and ongoing support
- Comprehensive health and wellness resources that go beyond traditional benefits
- 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
Responsibilities
- Request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines
- Work in a call center type environment and meet individual quality metrics
- Coordinate patient flow and ensure timely processing
- Maintain knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns
- Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations
- Practice 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
Requirements
- High School Diploma is required
- Minimum of 1 year experience in validating/obtaining authorizations with insurance payers
- 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
Qualifications
- Knowledge of medical and insurance terminology (desired)
- Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills
- Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, etc. and Medicare coverage structure, including medical necessity compliance guidelines
- Bilingual English/Spanish or English/Creole (preferred)
Pay
Estimated pay range for this position is $18.32 - $23.27 per hour depending on experience.