Authorization Associate 1

This is a fully remote position, open to applicants in Florida.

📋 Description

• Request, follow up on, acquire, and verify authorizations, referrals, and notifications using the appropriate CPT and ICD-10 codes within designated timelines.

• Operate in a call center-style environment while meeting individual quality metrics.

• Manage patient flow and ensure prompt processing.

• Maintain awareness and application of practices utilized within the department, physician practice, and hospital to address patient inquiries or issues.

• Stay informed about insurance requirements, BHSF pricing, financial assistance options, and the overall BHSF Revenue Cycle operations.

• Deliver professional, compassionate, and friendly service to patients of all ages, as well as families, employees, physicians, and community members.

⛳️ Requirements

• High School diploma, Certificate, GED, Training, or Experience.

• At least 1 year of experience in validating and obtaining authorizations from insurance payers.

• Successfully complete and pass the Patient Access training course.

• Ability to thrive in a high-volume, fast-paced work environment.

• Capability to perform basic mathematical calculations.

• Detail-oriented, organized, a team player, compassionate, and possess excellent customer service and interpersonal communication skills.

• Familiarity with medical and insurance terminology is preferred.

• Experience with computer applications, including Microsoft Office and EMR applications, alongside proficient typing skills.

• Understanding of regulatory guidelines including HIPAA, AHCA, and EMTALA.

• Knowledge of Medicare coverage structure, including medical necessity compliance guidelines.

• Bilingual in English and Spanish/Creole is preferred.

🏝️ Benefits

• Opportunities for career growth and development, with clear pathways and ongoing support.

• Comprehensive health and wellness resources that extend beyond traditional benefits.

• A wellness program designed to help employees eliminate their medical plan deductible, thus reducing out-of-pocket healthcare expenses.

• Tuition reimbursement to facilitate continued education and advancement.