Baptist Health

Referral Coordinator

• Coordinate, place, and follow up on patient appointments from patients, physician offices, military, attorneys, and workers’ compensation sources
• Answer a multi-line phone system, prioritize calls, and triage cases under pressure
• Obtain and electronically input patient demographics
• Schedule appointments using electronic medical record systems and provide timely follow-up to patients and referral sources
• Maintain working relationships with physician offices to schedule difficult and same-day appointments
• Maintain accurate and organized clerical data while adhering to HIPAA regulations
• Electronically document referrals and track access statistics for monthly reports
• Obtain records for physician review and ensure equitable distribution of referrals to physicians
• Coordinate and schedule multiple appointments for out-of-town patients
• Work with physicians and staff to ensure correct referral protocols are followed
• Assist with operational and managerial support as needed

Referral Triage Coordinator

Recruitment

• Lead full-cycle physician recruitment efforts to attract and hire qualified providers
• Partner with leadership to develop and implement strategic recruitment plans
• Build and maintain strong relationships with candidates, physicians, and internal stakeholders
• Support contract negotiations and onboarding processes
• Ensure a high-quality candidate experience throughout the recruitment lifecycle
• Collaborate with physician practices and operational leaders to meet staffing needs
• Support all aspects of physician recruitment for Baptist Health
• Source and attract qualified physicians, manage candidate relationships, and facilitate recruitment from initial outreach through onboarding

Physician Recruiter

Patient Access

• Schedule patient appointments for diagnostic, surgical, therapy, physician office visits, and other procedures/treatments.
• Obtain and verify demographic and insurance information.
• Register patients and enter data into the scheduling system.
• Work in a call center type environment.
• Meet individual quality metrics.
• Provide professional, compassionate, and friendly service to patients of all ages, families, employees, physicians, and community members.
• Practice the Baptist Health philosophy of service excellence.

Patient Access Scheduler 1, Rehab – Scheduling

Analyst

• Conduct complex data comparisons using multiple internal and external databases for Baptist Health Center for Performance Excellence initiatives
• Develop complex reports and analyses
• Communicate results in a comprehensive, accurate, and understandable format

Performance Analyst, Workforce Management

Performance Analyst 2, Workforce Management

Call Center Representative

• Provide for patient needs through the nursing process: assessment, planning, implementation, and evaluation
• Organize and supervise care provided by supportive personnel
• Coordinate care provided by ancillary services
• Include patients and significant others/families in developing an individualized plan of care
• Educate patients, significant others, and families about their disease process and plan of care
• Serve as patient advocate
• Provide care to patients requiring treatment for medical, surgical, chronic, and minor injury or illness conditions
• Virtually monitor patients in the Hospital at Home program through the 24-hour command center

Registered Nurse, Virtual Hospital at Home Contact Center

• Provide for patient needs using the nursing process: assessment, planning, implementation, and evaluation
• Organize and supervise care provided by supportive personnel
• Coordinate care provided by ancillary services
• Include patients and significant others/families in developing an individualized plan of care
• Educate patients, significant others, and families about their disease process and plan of care
• Serve as patient advocate
• Provide care to patients requiring treatment for medical, surgical, chronic, minor injury, or illness conditions

Registered Nurse, Nights, Virtual Hospital at Home Contact Center

• Provide for patient needs using the nursing process: assessment, planning, implementation, and evaluation
• Organize and supervise care provided by supportive personnel
• Coordinate care provided by ancillary services
• Include patients and significant others/families in developing individualized plans of care
• Educate patients, significant others, and families about their disease process and plan of care
• Serve as patient advocate
• Provide care to patients requiring treatment for medical, surgical, chronic, minor injury, or illness conditions
• Virtually monitor patients through the Hospital at Home command center

Registered Nurse, Part-Time, Virtual Hospital at Home Contact Center

Clinical Care Coordinator

• Coordinate patient care across outpatient, ambulatory, freestanding emergency department, post-acute, and community-based settings
• Collaborate with patients, families, physicians, advanced practice providers, care teams, and community resources to facilitate safe transitions and timely follow-up
• Identify patients at increased risk for hospitalization, readmission, emergency department utilization, poor health outcomes, or unmet social needs
• Develop and implement individualized care plans addressing clinical, psychosocial, and resource needs
• Assess social determinants of health and connect patients with internal and external resources
• Communicate with interdisciplinary teams regarding patient needs, care plans, transitions, and significant clinical events
• Evaluate patient problems, care provided, and patient responses to meet patient and family needs
• Review daily inpatient discharge reports and prioritize post-discharge needs, abnormal laboratory findings, pending diagnostic results, follow-up scheduling, and high-risk readmission coordination
• Coordinate interventions to reduce avoidable readmissions and emergency department utilization
• Support Baptist freestanding emergency departments with patient navigation, community referrals, follow-up arrangements, chronic disease management, and disposition planning
• Maintain accurate and timely documentation in accordance with organizational policies, regulatory requirements, and professional standards

RN – Clinical Care Coordinator

• Schedule patient appointments for diagnostic, surgical, therapy, physician office visits, and other procedures/treatments.
• Obtain and verify necessary demographic and insurance information.
• Register patients and enter data into the scheduling system.
• Work in a call center-type environment.
• Meet individual quality metrics.
• Provide professional, compassionate, and friendly service to patients, families, employees, physicians, and community members.
• Practice the Baptist Health philosophy of service excellence.

Patient Access Scheduler

Financial Planning and Analysis

• Obtain and verify demographic and insurance information
• Obtain authorizations, referrals, and notifications for diagnostic, surgical, therapy, admissions/observations, and other procedures/treatments
• Schedule patients' initial, follow-up, and add-on appointments/procedures as applicable
• Work in a call center environment
• Meet individual quality metrics, including productivity, accuracy, and customer service QA
• Coordinate patient flow and ensure timely processing
• Maintain knowledge and deploy departmental, physician practice, and hospital practices to address patient questions or concerns
• Maintain knowledge of insurance requirements, BHSF pricing, financial assistance options, and BHSF Revenue Cycle operations
• Provide professional, compassionate, and friendly service to patients, families, employees, physicians, and community members

Financial Clearance Associate 1

Auditor

• Work collaboratively with program leadership to plan and conduct compliance, clinical or revenue focused audits designed to identify control gaps, process inefficiencies and regulatory adherence
• Use root cause analysis techniques to understand why control gaps occurred and work with management to create action plans that address control gaps, improve processes or maintain regulatory compliance
• Write concise, well written audit reports and work with management to verify action plans are complete

Compliance Auditor

General

• Function as a senior expert consultant for Case Management
• Ensure high-quality patient care, appropriate ALOS, efficient resource utilization, and appropriate medical necessity for expected reimbursement
• Evaluate denials and non-certified days from third-party payors for appropriateness and appeal feasibility
• Consult with attending physicians, physician advisors, and case managers to formulate secondary and written formal appeals
• Use MCG, InterQual, and CMS guidelines for medical necessity determinations
• Serve as expert internal consultant to HSS, PFS, Compliance, Surgery, Transfer Center, and other departments on regulatory and billing requirements
• Act as liaison between the hospital and eQ Health, CMS, MAC, QIO, ALJ, Medicare Council, and RAC
• Prepare appeals for applicable regulatory and review entities
• Review all surgery cases across BHSF before and after procedures for appropriate CPT, level of care, relevant testing, authorization, and medical necessity in the EMR prior to billing
• Make billing recommendations for medical and surgical accounts based on payor

Denial & Appeals Coordinator, RN, Concurrent Denials Prevention

Nurse

• Perform venipuncture, IV catheter insertion, and PICC line care
• Calculate and administer IV medications
• Recognize signs of distress or reaction to medications
• Identify abnormal labs based on patients' drugs and co-morbidities
• Obtain vital signs
• Provide for patient needs using the nursing process
• Supervise care provided by supportive personnel and coordinate care provided by ancillary services
• Include patients and significant others/families in developing individualized plans of care
• Educate patients/significant others/families about their disease process and plan of care
• Serve as patient advocate
• Assist Interventional Radiologists
• Provide optimum care utilizing the nursing process

Registered Nurse, Infusion Therapy

• Collaborate with Radiation Oncologists and Medical Dosimetrists to design complex radiation therapy plans
• Perform initial and ongoing weekly reviews of patient treatment charts, beam calibration calculations, and computer treatment plans
• Provide direct clinical involvement during high precision or specialized radiation treatments, including HDR, brachytherapy, and SRS
• Perform daily, monthly, and annual quality control calibrations on linear accelerators and CT simulators
• Ensure facility operations adhere to Florida Administrative Code for control of radiation and Florida DoH standards