Central Authorization Specialist
BayCare Health System · Safety Harbor, FL · 1 mo ago
On-siteOTHRFull-time
Position Details
Location: Remote (must reside in Florida). This full‑time position requires onsite training in Clearwater, FL for 7 business days. Status: Full time. Shift: 8:30 AM – 5:00 PM, Monday through Friday.
Responsibilities
- Verify health insurance information and obtain 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 of authorizations.
- Utilize electronic scheduling/registration/financial systems, payer websites, and recorded calls to validate health coverage and benefits.
- Maintain proper documentation in Soarian or GE systems.
- Work closely with Managed Care and understand health insurance rule sets, manuals, and contract language.
Why BayCare?
BayCare’s network includes 16 community‑based hospitals, a long‑term acute care facility, home health services, outpatient centers and thousands of physicians. With more than 30,000 team members, the organization promotes a forward‑thinking philosophy built on trust, dignity, respect, responsibility, and clinical excellence. The culture blends high‑tech with high‑touch to advance superior health care in the communities served.
Benefits
- Medical, dental, and vision insurance
- Paid time off
- Tuition assistance
- 401(k) match and additional yearly contribution
- Annual performance appraisals and team award bonus
- Family resources and wellness opportunities
- Community perks and discounts
Qualifications
- Education: High school diploma or equivalent required; Associate’s degree in Business or Health Services preferred.
- Experience: 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 preferred.
- Certifications and Licensures: None required.