
Central Authorization Specialist
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At a glance
Job overview
BayCare Health System is hiring a Central Authorization Specialist. BayCare seeks a Central Authorization Specialist II to provide outstanding customer service, verify health insurance information, obtain authorizations and referrals, and support patients, clinical teams, and physicians while working remotely after required onsite training in Florida.
Key focus areas include Verify health insurance information and obtain authorizations, pre‑certifications, and referrals, Assist patients, clinical teams, physicians, and staff with information and process details, and Utilize electronic scheduling, registration, and financial systems to validate coverage.
Successful candidates bring High School Or Equivalent, 2+ Years Insurance Verification And Authorization Retrieval, and 1+ Years Health Insurance Website Experience. Important skills include Insurance Verification, Authorization Retrieval, Health Insurance Website, and Health Insurance Website Experience. Preferred (not required): Managed Care, Referral Processing, Electronic Scheduling/Registration/Financial Systems, and Payer Websites.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
Position Details:
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Location: Remote (must reside in Florida) -Following the required onsite training below
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Status: Full time
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Shift: 8:30 AM - 5:00 PM
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Days: Monday through Friday
This Central Authorization Specialist II opportunity is a full-time remote (following the below onsite training) position. Team members must reside in Florida.
This role requires onsite training in Clearwater, FL for 7 business days. The schedule is M-F 8:00AM - 4:30PM (after training, the team member will work the hours listed above)
Responsibilities:
The Central Authorization Specialist II is responsible for verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation and scheduled outpatient elective services. Assist patients, clinical teams, physicians and their staff, the BayCare central business office, and denials management with information and process details for timely turnaround for authorizations. Utilize electronic scheduling/registration/financial systems, payer's websites, and recorded calls to validate health coverage and benefits in processing approval for medical services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and contract language.
Why BayCare?
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
BayCare offers a competitive total reward package including:
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Benefits (Medical, Dental, Vision)
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Paid Time Off
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Tuition Assistance
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401K Match and additional yearly contribution
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Annual performance appraisals and team award bonus
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Family resources and wellness opportunities
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Community perks and discounts
Certifications and Licensures
- None required
Education
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Required - High School or Equivalent
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Preferred - Associates - Business or Health Services
Experience
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Required - 1 yearsof Insurance Verification and Authorization Retrieval or Referrals
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Required - 1 year of Health Insurance Website experience
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Preferred - 1 year of Healthcare Business Office and /or Managed Care experience
Equal Opportunity Employer Veterans/Disabled
Position Central Authorization Specialist
Location Safety Harbor:Mease Countryside | Business and Administrative | Full Time
Req ID 162777
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