Central Authorization Specialist I - Physician Authorizations

BayCare Health System

Clearwater, FL 33765

Posted 1 month ago

Job Description

Title: Central Authorization Specialist I - Physician Authorizations

Location: FL-Clearwater-System Offices

Job Number: 208928

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. Our team members focus on tomorrow by achieving personal and professional success today.

The Central Authorization Specialist I is responsible for:

·Verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for medical outpatient elective services.

·Assists 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.

·Utilizes electronic scheduling/registration/financial systems, payers websites, and recorded calls to validate health coverage and benefits in processing approval for medical services.

·Maintains proper documentation in Soarian or GE systems.

·Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language.

Requirements include:

·1 Year of Insurance Verification and Authorization Retrieval or Referrals.

1 year of Healthcare Business Office, Managed Care and/or Health Insurance Website experience is preferred.

BayCare offers a competitive total reward package including benefits, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals and team award bonus, community discounts and the chance to be part of an amazing team and a great place to work!


**Certifications and Licensures**

None Required


Required High School or Equivalent

Preferred Associate's Business

Preferred Associate's Health Services


Required 1 year Reference summary for details

Preferred 1 year Reference summary for details

**Specific Skills**

Required Customer service skills

Required Interpersonal skills

Required Work independently

Required Critical thinking skills

Required Computer skills appropriate to position

Required Written and verbal communication skills

Required Organizational skills

Required Administrative and clerical skills

Required Medical terminology use and understanding

Schedule: Monday, Tuesday, Wednesday, Thursday, Friday

Shift: Days

Shift Hours: 8:00 AM - 4:30 PM

Weekend Work: Occasional

On Call: No

Employment Status: ACTIVE PRN

Equal Opportunity Employer Veterans/Disabled

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