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.
Position Details:
Location: Remote (after on-site training listed below)
Status: PRN ( non-benefit eligible )
Shift: 8:00 AM to 4:30 PM (minimum of two 8 hour shifts weekly)
Days: Monday through Friday
This Central Authorization Specialist II opportunity is a PRN ( non-benefit eligible ) remote position after the below training (minimum of two 8 hour shifts weekly). Team members must reside in Florida.
This role requires onsite training in Clearwater, FL for at least 12-15 business days with an additional 5 business days of remote training. The schedule is M-F 8:00AM - 4:30PM (after training, the team member will work PRN).
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.
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.
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
Equal Opportunity Employer Veterans/Disabled
Position Central Authorization Specialist II - PRN
Location Clearwater | Business and Administrative | Full Time
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