Baptist Health Boca Raton Regional Hospital
Oncology Authorization Coordinator, Center for Hematology and Oncology, FT, 8:30
Baptist Health Boca Raton Regional Hospital, Boca Raton, Florida, us, 33481
Overview
Oncology Authorization Coordinator, Center for Hematology and Oncology, FT, 8:30A-5P Hybrid Remote — Baptist Health Boca Raton Regional Hospital. Responsibilities
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. Maintain 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. Qualifications
Degrees: High School,Cert,GED,Trn,Exper. For internal staff: A minimum of 3 years experience in validating/obtaining authorizations and has demonstrated the ability to independently perform all functions within the Level 1 job description. Meets/exceeds all Individual Performance Standards for at least the most recent 6 months. Exceeds departmental KPIs and is cross trained in multiple areas/product lines to substitute all staff positions as needed. For external staff: 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. Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA. 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. EOE, including disability/vets.
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Oncology Authorization Coordinator, Center for Hematology and Oncology, FT, 8:30A-5P Hybrid Remote — Baptist Health Boca Raton Regional Hospital. Responsibilities
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. Maintain 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. Qualifications
Degrees: High School,Cert,GED,Trn,Exper. For internal staff: A minimum of 3 years experience in validating/obtaining authorizations and has demonstrated the ability to independently perform all functions within the Level 1 job description. Meets/exceeds all Individual Performance Standards for at least the most recent 6 months. Exceeds departmental KPIs and is cross trained in multiple areas/product lines to substitute all staff positions as needed. For external staff: 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. Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA. 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. EOE, including disability/vets.
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