Financial Authorization Clearance Associate, Business Support, FT, 9A-5:30P

3 weeks ago


Miami, United States Baptist Health South Florida Full time

Position is remote after 3 months of on-site training in West Kendall, FL. Must have prior authorization experience, excel in multitasking, and thrive in a fast-paced environment.

The incumbent will be responsible for obtaining and verifying necessary demographic and insurance information, including authorization/referrals/notifications (diagnostic, surgical, therapy, admissions/observations, and other procedures/treatments). Responsible for scheduling patients' appointments/procedures (initial, follow-up, and/or add-on), as applicable. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics (e.g., productivity, accuracy, customer service QA, etc.). 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, Baptist Health South Florida (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.

Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: Complete and successfully 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 . Desired: Basic knowledge of medical and insurance terminology. 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, and Medicare coverage structure, including medical necessity compliance guidelines. Bilingual English, Spanish/Creole. Minimum Required Experience:



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