Lead Oncology Authorization Coordinator, Business Clinic Office, FT, 10:30A - 7:00P

Exemplary teamwork, service, and overall knowledge of BHSF Revenue Cycle, from a Patient Access perspective. This position is for those individuals who will serve as a preceptor for new hires. The incumbent will be responsible to request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Oncology Radiation/Infusion. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics. 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. Serves as an authorization resource and takes on leadership role in the absence of a Manager/Supervisor. Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations. Assist in supporting go lives and different departmental initiatives. Participate in departmental committees/champion opportunities. 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 Estimated pay range for this position is $22.32 - $28.35 / hour depending on experience. Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications:

• For internal staff: A min of 4 yrs exp in validating/obtaining authorizations.
• Meets/exceeds all Individual Performance Standards for at least the most recent 12 months.
• Exceeds dept.
• KPIs.
• Assist co-workers and precepts new hires.
• Cross trained in multiple areas/product lines/practices to substitute all staff positions as needed.
• For external staff: AA Degree preferred with 4 yrs exp in validating/obtaining authorizations or 5 yrs exp in lieu of degree.
• Prior Authorization On-Demand Webinars to be completed within 3 months of hire, & updated yearly education required.
• Complete & pass the Patient Access training course.
• Ability to work in a high volume, fast-paced work environment & perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service & interpersonal communication skills.
• Desired: Authorization guidelines for Oncology Radiation/Infusion knowledge.
• Leadership exp preferred.
• Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, Medicare coverage structure, medical necessity compliance guidelines.
• Working knowledge of insurance contracts, & authorization/pre-certifications.
• Microsoft Office products, EMR applications, etc.
• Knowledge of medical terminology.
• Bilingual English, Spanish/Creole preferred.

Minimum Required Experience: 4 Years