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

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.

At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities , with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible , reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description

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.

Qualifications

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

Where you can work from

This job is 100% remote, for applicants who live in the United States.