Central Authorization Specialist II
4 weeks ago
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.
Position Details:
- Location: Remote (after on-site training)
- Status: Full time
- Shift: 8:00 AM to 4:30 PM
- Days: Monday through Friday
This role requires onsite training in Clearwater, FL for at least 12-15 business days. The schedule is M-F 8:00AM - 4:30PM (after training, the team member will work the hours listed above).
Responsibilities:
The Central Authorization Specialist II is responsiblefor verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation and scheduled outpatient elective services. Assist 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. Utilize electronic scheduling/registration/financial systems, payer's websites, and recorded calls to validate health coverage and benefits in processing approval for medical services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and contract language.
Why BayCare?
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 is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
BayCare offers a competitive total reward package including:
- Benefits (Medical, Dental, Vision)
- Paid Time Off
- Tuition Assistance
- 401K Match and additional yearly contribution
- Annual performance appraisals and team award bonus
- Family resources and wellness opportunities
- Community perks and discounts
- None required
- Required - High School or Equivalent
- Preferred - Associates - Business or Health Services
- Required - 2 years of Insurance Verification and Authorization Retrieval or Referrals
- Required - 1 year of Health Insurance Website experience
- Preferred - 1 year of Healthcare Business Office and /or Managed Care experience
Equal Opportunity Employer Veterans/Disabled
-
Authorization Specialist II
3 weeks ago
Clearwater, United States BayCare Health System Full timeBayCare Health System is seeking a highly skilled Central Authorization Specialist II to join our team. This role is responsible for verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation, and scheduled outpatient elective services.**Key Responsibilities:**- Verify health insurance...
-
Logistics Specialist II
4 weeks ago
Clearwater, Florida, United States SRS Distribution Inc. Full timeJob SummaryWe are seeking a skilled Logistics Specialist II to join our team at Suncoast Roofers Supply - Clearwater. As a Logistics Specialist II, you will be responsible for delivering building materials to customers' places of business or job sites within a 200-mile radius of our home branch.Key ResponsibilitiesSafely drive a commercial vehicle in...
-
Digital Marketing Specialist II
3 weeks ago
Clearwater, United States TD SYNNEX Full timeAbout the RoleWe are seeking a highly skilled Digital Marketing Specialist II to join our team at TD SYNNEX. As a key member of our marketing team, you will be responsible for developing and implementing digital marketing programs and campaigns that drive brand engagement and revenue growth.Key ResponsibilitiesCreate and implement digital marketing assets,...
-
Clinical Nurse II
4 weeks ago
Clearwater, United States BayCare Health System Full timeAt BayCare Health System, we are committed to delivering exceptional patient care and promoting a culture of clinical excellence.As a Clinical Nurse II - Rehabilitation Specialist, you will play a vital role in our team, caring for patients with complex needs and providing personalized support to help them achieve their rehabilitation goals.Key...
-
Customer Success Specialist
3 weeks ago
Clearwater, United States Clearwater Shower Bath Full timeCustomer Success Specialist Job DescriptionClearwater Shower Bath is seeking a dedicated and customer-oriented Customer Success Specialist to serve as the central point of contact for our home improvement projects. This role requires exceptional communication skills, attention to detail, and the ability to manage multiple projects while ensuring high...
-
Manufacturing Engineering Specialist
3 weeks ago
Clearwater, FL, United States Saint-Gobain Full timeRole OverviewWe're a leading global innovator in the Life Sciences division, where our teams are solving critical problems for customers who are getting life-saving medical devices to the frontlines of healthcare, discovering essential medications, and nourishing and connecting the world through consumer, industrial and electronics applications.The...
-
Manufacturing Engineer II
3 weeks ago
Clearwater, FL, United States Saint-Gobain Full timeAt Saint-Gobain, we're committed to improving lives through innovative solutions. As a Manufacturing Engineer II, you'll play a critical role in driving technical excellence and process optimization across our operations.This role requires a strong background in engineering and plastics experience, with a focus on extrusion, injection molding, and...
-
Digital Marketing Specialist II
3 weeks ago
Clearwater, FL, United States TD SYNNEX Full timeAbout the RoleWe are seeking a highly skilled Digital Marketing Specialist II to join our team at TD SYNNEX. As a key member of our marketing team, you will be responsible for developing and implementing digital marketing programs and campaigns that drive business growth and enhance our brand presence.Key ResponsibilitiesCreate and Implement Digital...
-
Detox Support Specialist
3 weeks ago
Clearwater, Florida, United States Operation Par Inc. Full timeJob Title: Detox Support SpecialistAbout the Role: We are seeking a skilled Detox Support Specialist to join our team at Operation Par Inc.Key Responsibilities:* Provide support and guidance to clients in a group setting* Assist with the health, safety, and security of clients assigned* Transport clients in an approved agency vehicle* Provide information and...
-
Detox Support Specialist
4 weeks ago
Clearwater, Florida, United States Operation Par Inc. Full timeJob OverviewOperation PAR, Inc. is a non-profit organization dedicated to providing comprehensive behavioral health treatment services. We are seeking a highly motivated and compassionate Detox Support Specialist to join our team.About the Role:This entry-level position involves working with individuals who require support and guidance in their recovery...
-
Manufacturing Engineer II Specialist
2 weeks ago
Clearwater, FL, USA, United States Saint-Gobain Full timeKey Responsibilities:• Manage technical activities, including engineering, product development, Tech Transfer, application engineering, and support to customers and other departments.• Collaborate with assigned Focus Factories/departments/plants and the Project Management central team to support C-FLEX twin and single screw extrusion, compounding &...
-
Automation Specialist
4 weeks ago
Clearwater, Florida, United States ProAutomated Inc. Full timeJob Title: Automation SpecialistProAutomated Inc. is seeking a skilled Automation Specialist to join our team. As a key member of our team, you will be responsible for traveling to various locations to install, troubleshoot, and maintain cutting-edge automation equipment.Key Responsibilities:Install and calibrate automation systems to ensure optimal...
-
Substance Use Disorder Specialist
4 weeks ago
Clearwater, Florida, United States Operation Par Inc. Full timeAbout the RoleOperation PAR, Inc. is seeking a skilled Substance Use Disorder Specialist to join our team. As a key member of our staff, you will provide individual and group counseling services to patients struggling with substance use and mental health disorders.Key ResponsibilitiesConduct comprehensive assessments and evaluations to identify patient...
-
Correctional Probation Specialist
3 weeks ago
Clearwater, United States State of Florida Full timeJob SummaryWe are seeking a highly skilled Correctional Probation Specialist to join our team at the State of Florida. As a Correctional Probation Specialist, you will be responsible for supervising and monitoring a caseload of high-risk offenders, including sex offenders, and providing guidance and support to help them comply with their supervision...
-
Substance Use Disorder Specialist
4 weeks ago
Clearwater, Florida, United States Operation Par Inc. Full timeAbout the RoleOperation PAR, Inc. is seeking a qualified Substance Use Disorder Specialist to join our team. As a key member of our staff, you will provide comprehensive counseling services to individuals struggling with substance use and mental health disorders.Key ResponsibilitiesProvide individual and group counseling sessions to patientsEvaluate, screen,...
-
Manufacturing Engineer II
4 weeks ago
Clearwater, United States Saint-Gobain High Performance Solutions - Life Sciences, Composites & Mobility Full timeJob SummaryWe are seeking a highly skilled Manufacturing Engineer II to join our team at Saint-Gobain High Performance Solutions - Life Sciences, Composites & Mobility. As a key member of our manufacturing team, you will be responsible for managing technical activities, including engineering, product development, and technical transfer. Your expertise will...
-
Permit Specialist
4 weeks ago
Clearwater, Florida, United States MTC Engineering Full timeJob OverviewMTC Engineering, a leading provider of network planning and engineering services, is seeking a highly skilled Permit Specialist to join our team. As a Permit Specialist, you will play a critical role in managing all necessary engineering and construction-related permitting submittals to various jurisdictions for telecommunications projects.Key...
-
Roll Form Tooling Specialist
4 weeks ago
Clearwater, United States Universal Alloy Corporation Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Roll Form Tooling Specialist to join our team at Universal Alloy Corporation. As a key member of our Roll Form department, you will be responsible for maintaining roll form tooling, inspecting for damage, and ensuring efficient workflow.Key ResponsibilitiesMaintain roll form tooling and ensure it...
-
Payroll Specialist
2 weeks ago
Clearwater, United States Robert Half Full timeJob DescriptionJob DescriptionWe are offering a contract to hire employment opportunity for a Payroll Specialist in Clearwater, Florida. As part of our team, you will be working within the Government sector, handling complex financial work in a multi-fund/multi-account environment and providing comprehensive services related to time entry, payroll...
-
Customer Success Specialist
2 months ago
Clearwater, United States Clearwater Shower Bath Full timeCustomer Success Specialist - Home Improvement ProjectsClearwater Shower Bath is the premier bathroom remodeling specialist serving the greater Tampa Bay Area and Southwest Florida. As a locally owned and operated business, we pride ourselves on delivering unmatched customer service and satisfaction that outshines the larger nationwide chains. At Clearwater...