BayCare
Central Authorization Specialist Ii - 114675
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. This Central Authorization Specialist II opportunity is a part-time remote (following require on-site training below) position. Team members must reside in Florida. This role requires onsite training in Clearwater, FL for at least 12-15 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 understand 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 - 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 Highly Preferred - Infusion prior authorization Highly Preferred - Oncology prior authorization Equal Opportunity Employer Veterans/Disabled
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. This Central Authorization Specialist II opportunity is a part-time remote (following require on-site training below) position. Team members must reside in Florida. This role requires onsite training in Clearwater, FL for at least 12-15 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 understand 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 - 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 Highly Preferred - Infusion prior authorization Highly Preferred - Oncology prior authorization Equal Opportunity Employer Veterans/Disabled