At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. 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.

Responsibilities:

• 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, payer's 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.

Minimum Qualifications:

• 2 years of Insurance Verification and Authorization Retrieval or Referrals is required.
• 1 year of Health Insurance Website experience is required. 1 year of Healthcare Business Office and /or Managed Care experience is preferred.
• Required - High School or Equivalent; Preferred - Associates - Business; Preferred - Associates - Health Services

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

BayCare Health System, Physician Authorizations-BCHS

Location: BayCare Central Billing Office

Status: Full Time, Exempt: No

Shift Hours: 8:00am - 4:30pm

Shift: Shift 1

Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies

Weekend Work: None

On Call: No

Does this position fall under CMS guidelines for COVID19 vaccine or exemption?: Yes - CMS Requirements Apply

How often will this team member be working remotely? Always

Equal Opportunity Employer Veterans/Disabled