• Central Authorization Specialist I

    BayCare Health System (Oldsmar, FL)


    Join the team that is revolutionizing health care – BayCare Health System

     

    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’s 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's why you'll 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.

     

    Position:** **Central Authorization Specialist I

     

    Facility:** **BayCare Central Billing Office / Hybrid

     

    This Central Authorization Specialist I opportunity is a full-time remote (following onsite training) position. The team member must reside in Florida. The role requires onsite training in Clearwater, FL for at least 3-4 weeks.

    The central authorization Specialist I job duties include:

    + Responsible for verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for medical 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.

    BayCare offers a competitive total reward package including:

    + **Benefits (Health, Dental, Vision)**

    + **Paid time off**

    + **Tuition reimbursement**

    + **401k match and additional yearly contribution**

    + **Yearly performance appraisals and team award bonus**

    + **Community discounts and more**

    + **AND the chance to be part of an amazing team and a great place to work!**

    Minimum Qualifications:

    Required Experience

    + **1 year of Insurance verification and authroization retrival or referrals required**

    + **1 year of healthcare business office, managed care and/or health insurance website experience is preferred**

    Education:

    + **HS Graduate or Equivalent GED required**

    + **Associate's Degree preferred**

     

    Status:** **Full Time

     

    Shift Hours:** **8:00 AM - 4:30 PM / 9:00 AM - 5:30 AM

     

    Weekend Work:** **Occasional

    Equal Opportunity Employer Veterans/Disabled

    **Position** Central Authorization Specialist I

    **Location** Oldsmar:BayCare Central Billing | Business and Administrative | Full Time

    **Req ID** 126479