Oncology Authorization Coordinator 2

• Request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Radiation Oncology and/or Oncology Infusion
• Be in a call center type environment and responsible for meeting individual quality metrics
• Coordinate 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, 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

• High School Diploma is required
• Associates Degree preferred with 3 years experience in validating/obtaining authorizations with insurance payers, or 4 years experience in lieu of degree
• Association of Community Cancer Center, Prior Authorization On-Demand Webinars to be completed within 3 months of hire, and updated yearly education required
• Complete and pass the Patient Access training course
• Ability to work in a fast-paced work environment and perform basic mathematical calculations
• Knowledge of authorization guidelines for Radiation Oncology/Oncology Infusion
• Understanding of insurance contracts, medical terminology, authorizations and pre-certifications
• Working knowledge of the Microsoft Office products and EMR applications
• Bilingual English, Spanish/Creole
• Minimum Required Experience: 3 Years

Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA