Central Authorization Specialist

BayCare Health System; Town of Florida (NY); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Benefits (Medical, Dental, Vision)

Paid Time Off

Tuition Assistance

401K Match and annual contribution

Annual performance appraisals and team

Bonus potential

Wellness resources

Community discounts

Job summary

BayCare Health System is seeking a Central Authorization Specialist II to verify insurance details and obtain necessary authorizations for inpatient, observation and outpatient services. The role begins with onsite training in Clearwater, FL, and transitions to a remote schedule, working Monday–Friday from 8:30 AM to 5:00 PM.

The ideal candidate will have at least 1 year of experience in insurance verification and authorization retrieval, plus familiarity with health insurance websites and payer

Qualifications

• Must have experience verifying insurance information and obtaining authorizations.
• Experience with payer websites and health plan rules is preferred.
• Strong patient-facing customer service skills and ability to work with clinical teams.

Responsibilities

• Verify health insurance information and obtain authorizations, pre-certifications, or referrals.
• Assist patients and clinicians with information and processing for timely authorizations.
• Utilize payer portals and clinical systems to validate coverage and document actions.

Skills

Insurance verification

Authorization retrieval

Customer service

Education

High School or GED

Associates in Business/Health Services

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

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

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

Equal Opportunity Employer Veterans/Disabled