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!


Qualifications:


**Certifications and Licensures**


None Required


**Education**


Required High School or Equivalent


Preferred Associate's Business


Preferred Associate's Health Services


**Experience**


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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