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 II is responsible for:
·Verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation and scheduled 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.
·2 years of Insurance Verification and Authorization Retrieval or Referrals
·1 year of Health Insurance Website experience
1 year of Healthcare Business Office and /or Managed Care 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|
|Required||2 years||Reference summary for details|
|Required||1 year||Reference summary for details|
|Preferred||1 year||Reference summary for details|
|Required||Customer service skills|
|Required||Critical thinking skills|
|Required||Computer skills appropriate to position|
|Required||Written and verbal communication skills|
|Required||Administrative and clerical skills|
|Required||Medical terminology use and understanding|