Central Authorization Specialist
baycareClearwater Beach (FL)
About the role
Central Authorization Specialist - 155182 Clearwater: BayCare Sys Office West | Business and Administrative | Full Time
Description:
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 FridayThis 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 OffTuition 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
- EducationRequired - High School or Equivalent
Preferred: Associates - Business or Health Services
ExperienceRequired - 2 years 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
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