Central Authorization Specialist

BayCare Health System; Alberton; Remote; ZAR 459,000 - 643,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid Time Off

Tuition Assistance

401K Match

Annual bonus

Wellness programs

Community perks and discounts

Job summary

BayCare is seeking a Central Authorization Specialist to verify health insurance information and obtain authorizations, pre-certifications and referrals for inpatient, observation and scheduled outpatient services. This full-time remote position requires on-site training in Clearwater, FL for 7 business days, after which the schedule becomes M-F 8:00 AM - 4:30 PM.

You will support patients, clinical teams, physicians, and the BayCare central business office, using Soarian/GE systems and payer

Qualifications

• 1 year of Insurance Verification and Authorization Retrieval or Referrals is required.
• 1 year of Health Insurance Website experience is required.
• 1 year of Healthcare Business Office and/or Managed Care experience is preferred.

Responsibilities

• Verify health insurance information and obtain authorizations, pre-certifications and/or referrals.
• Assist patients, clinical teams, physicians and staff with information and processes for timely approvals.

Education

High School or Equivalent

Associates - Business or 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: 8:00 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