Central Authorization Specialist

Baycare; Winter Haven (FL); Remote; USD 42,000 - 56,000; Full time

Job summary

BayCare seeks a Central Authorization Specialist to verify insurance information and obtain authorizations for inpatient, observation, and outpatient services. The role requires Florida residency and includes remote work after onsite training.

Responsibilities include assisting clinical teams and denials management, using payer websites, and documenting in Soarian or GE systems. 1 year in insurance verification and health website experience is preferred.

Qualifications

• Required: High School or Equivalent; Preferred: Associates in Business or Health Services.
• 1 year 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 outpatient elective services.
• Assist patients, clinical teams, physicians and 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 understand health insurances rule sets, manuals, and contract language.

Education

High School or Equivalent

Associates - Business or Health Services

Tools

Soarian

GE systems

Job description

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Category Business and Administrative

Business and Administrative

Registration

Registration

Work Type Press down arrow to select

Full Time

Job Code Minimum Salary

Minimum Salary

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Location Press down arrow to select

Winter Haven:Winter Haven

Details

Title Description

BayCare is currently in search of our newestTeamMember 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: 8:00 AM - 4:30 PM
• Days: Monday through Friday

This Central Authorization Specialist 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 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

Education

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

Experience

• Required - 1 year of 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