Central Authorization Specialist

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.

Requirements

• Must reside in Florida.
• Full-time remote position following 7 business day onsite training in Clearwater, FL.
• Work schedule: M-F 8:00AM - 4:30PM (after training, 8:30AM - 5:00PM).

Qualifications

• High School or equivalent degree.
• 2 years of Insurance Verification and Authorization Retrieval or Referrals experience.
• 1 year of Health Insurance Website experience preferred.
• 1 year of Healthcare Business Office and/or Managed Care experience preferred.

Benefits

• 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.

Schedule

• Full-time remote position.
• Following 7 business day onsite training in Clearwater, FL.
• Work schedule: M-F 8:30AM - 5:00PM (after training).

Pay

• Details not specified.

About the Role

BayCare is a large employer within the Tampa Bay area seeking a Central Authorization Specialist II to join their team. The position is remote but requires training in Clearwater, FL. The role involves verifying health insurance information, assisting with patient and clinical needs, and maintaining accurate documentation.

Skills

• Insurance Verification and Authorization Retrieval.
• Health Insurance Website experience.
• Managed Care understanding.
• Electronic scheduling/registration/financial systems knowledge.

Benefits

• Medical, Dental, Vision benefits.
• Paid time off.
• Tuition assistance.
• 401K match.
• Annual performance appraisals and team award bonus.

Schedule

• Full-time remote position.
• Following 7 business day onsite training in Clearwater, FL.
• Work schedule: M-F 8:30AM - 5:00PM (after training).