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.
·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**
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
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 Hours: 8:00 AM - 4:30 PM
Weekend Work: Occasional
On Call: No
Employment Status: ACTIVE PRN
Equal Opportunity Employer Veterans/Disabled