Authorization Associate, Patient Access, FT, 08:30A-5P

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.

About the role

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. This position requires working in a call center environment and meeting individual quality metrics. Responsibilities include coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. The role also involves maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations. The incumbent will 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.

Responsibilities

• Request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes within required timelines.
• Work in a high-volume, fast-paced call center environment while meeting individual quality metrics.
• Coordinate patient flow and ensure timely processing of authorizations and referrals.
• Maintain up-to-date knowledge of departmental, physician practice, and hospital procedures to address patient questions or concerns.
• Understand and apply knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations.
• Provide professional, compassionate, and friendly service to patients, families, employees, physicians, and the community.

Requirements

• A minimum of 1 year of experience in validating/obtaining authorizations with insurance payers.
• Completion and passing of the Patient Access training course.
• Ability to work in a high-volume, fast-paced environment.
• Proficiency in basic mathematical calculations.
• Strong attention to detail, organizational skills, and ability to work as part of a team.
• Compassionate demeanor with excellent customer service and interpersonal communication skills.

Qualifications

• High School diploma, GED, or equivalent training/experience.
• Desired: Knowledge of medical and insurance terminology.
• Desired: Experience with computer applications (e.g., Microsoft Office, EMR applications) and accurate typing skills.
• Desired: Knowledge of regulatory guidelines, including HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines.
• Bilingual (English/Spanish or English/Creole) preferred.

Benefits

At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• 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.

Pay

Estimated pay range for this position is $18.32 - $23.27 per hour, depending on experience.