Central Authorization Specialist
BayCare Health System · Clearwater, FL · 2 days ago
On-siteOTHRFull-time
Position Details
Location: Remote (must reside in Florida)
Status: Full time
Shift: 8:00 AM to 4:30 PM
Days: Monday through Friday
Responsibilities
- Verify health insurance information and obtain authorizations, pre-certifications, and/or referrals for inpatient, observation, and scheduled outpatient elective services.
- Aid 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 insurance rule sets, manuals, and contract language.
Qualifications
- High School or Equivalent
- Associates - Business or Health Services preferred
- 2 years of Insurance Verification and Authorization Retrieval or Referrals experience required
- 1 year of Health Insurance Website experience preferred
- 1 year of Healthcare Business Office and/or Managed Care experience preferred