Authorization Associate 1

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

📋 Description

• Request, track, secure, and verify authorizations, referrals, and notifications using the appropriate CPT and ICD-10 codes within specified timelines.

• Operate in a call center-like environment while achieving individual quality metrics.

• Manage patient flow and ensure prompt processing.

• Stay informed and implement practices utilized within the department, physician practice, and hospital to address patient inquiries or issues.

• Keep updated on insurance prerequisites, BHSF pricing, financial assistance opportunities, and the overall BHSF Revenue Cycle operations.

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

⛳️ Requirements

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

• At least 1 year of experience in validating and obtaining authorizations with insurance providers.

• Successfully complete and pass the Patient Access training program.

• Capable of working in a high-volume, fast-paced environment.

• Proficient in 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 (e.g., Microsoft Office, knowledge of EMR applications, etc.) and proficient typing skills.

• Understanding of regulatory guidelines, including but not limited to HIPAA, AHCA, EMTALA, etc.

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

• Bilingual in English and Spanish/Creole is preferred.

🏝️ Benefits

• Opportunities for career growth and development, with defined pathways and continuous support.

• Comprehensive health and wellness resources available.

• Wellness program designed to assist employees in eliminating their medical plan deductible.

• Tuition reimbursement offered.