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Central Authorization Specialist II

2 months ago

Clearwater, United States BayCare Health System Full time

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.

This is a PRN (as needed) position that requires team members reside in the state of Florida. Team members for this position must be able to train on site in Clearwater, FL for 12-15 business days.

**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, 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 is required. 1 year of Health Insurance Website experience is required. 1 year of Healthcare Business Office and /or Managed Care experience is preferred.

**Specific Skills**

+ Work with minimal supervision

+ Multi-tasking skills

+ Written and verbal communication skills

+ Computer skills appropriate to position

+ Customer service skills

+ Equipment use and maintenance appropriate for position

+ Work in a fast-paced environment

+ Organizational skills

**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.

**Certifications and Licensures**

+ None required

**Education**

+ Required High School or equivalent

+ Preferred Associates in Business or Health Services

**Experience**

+ Required 2 years reference summary for details

+ Required 1 year reference summary for details

**Facility:**

BayCare Health System, Admitting Central Auth Unit-BCHS

**Location:** **BayCare System Office West**

**Status:** **PRN, Exempt: No**

**Shift Hours:** **PRN**

**Shift:** **Shift 1**

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

**Weekend Work:** **None**

**On Call:** **No**

**How often will this team member be working remotely?** Always

Equal Opportunity Employer Veterans/Disabled

**Position** Central Authorization Specialist II

**Location** Clearwater:BayCare Sys Office West | Business and Administrative | PRN

**Req ID** null