Central Authorization Specialist

BayCare Health System; Clearwater (FL); Remote; USD 45,000 - 68,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Tuition Assistance

401K Match and PTO

Job summary

BayCare Health System in Florida is seeking a Central Authorization Specialist II for a full-time remote role after a brief onsite training in Clearwater. The position requires verifying health insurance information and obtaining authorizations for inpatient, observation, and elective services.

You will collaborate with clinical teams, patients, and payer networks, using Soarian or GE systems to document and track authorizations.

Qualifications

• 2 years of Insurance Verification and Authorization Retrieval or Referrals.
• 1 year of Health Insurance Website experience (Preferred).
• 1 year of Healthcare Business Office and/or Managed Care experience.

Responsibilities

• Verify health insurance information and obtain authorizations, pre-certifications, and/or referrals for inpatient, observation and scheduled outpatient services.
• Assist patients, clinical teams, physicians, and staff with information and processes for timely authorizations.
• Utilize payer websites and systems to validate coverage and document processing approvals.
• Maintain proper documentation in Soarian or GE systems and collaborate with Managed Care on rules and contracts.

Skills

Insurance Verification

Authorization Retrieval

Managed Care

Education

High School or Equivalent

Associates - Business or Health Services

Job description

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.

Position Details

• Location: Remote (must reside in Florida) -Following the required onsite training below
• Status: Full time
• Shift: 8:00 AM to 4:30 PM
• 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 5 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.

BayCare Offers a Competitive Total Reward Package Including

• Benefits (Medical, Dental, Vision)
• Paid Time Off
• Tuition Assistance
• 401K Match and additional yearly contribution
• Annual performance appraisals and team award bonus
• Family resources and wellness opportunities
• Community perks and discounts

Certifications and Licensures

• None required

Education

• Required
• High School or Equivalent
• Preferred
• Associates - Business or Health Services

Experience

• Required
• 2 years of Insurance Verification and Authorization Retrieval or Referrals
• Required
• 1 year of Health Insurance Website experiencePreferred
• 1 year of Healthcare Business Office and /or Managed Care experience

Equal Opportunity Employer Veterans/Disabled