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Authorization Specialist II

2 months ago

Clearwater, United States BayCare Health System Full time

Join BayCare Health System, a leader in transforming health care. Our extensive network includes community hospitals, long-term acute care facilities, home health services, outpatient centers, and a vast number of physicians. With over 30,000 dedicated team members, we foster a culture rooted in trust, dignity, respect, responsibility, and clinical excellence.

At BayCare, we prioritize the future by empowering our team members to achieve both personal and professional growth. Our innovative environment combines cutting-edge technology with compassionate care, ensuring that we deliver exceptional health services to the communities we serve.

Position: Central Authorization Specialist IIKey Responsibilities:
  • Verify health insurance details and secure authorizations, pre-certifications, and referrals for inpatient, observation, and scheduled outpatient elective services.
  • Provide assistance to patients, clinical teams, physicians, and the BayCare central business office to ensure timely processing of authorizations.
  • Utilize electronic systems, payer websites, and recorded communications to confirm health coverage and benefits for medical service approvals.
  • Maintain accurate documentation within Soarian or GE systems.
  • Collaborate closely with Managed Care, demonstrating a solid understanding of health insurance regulations, manuals, and contractual language.
Benefits Offered:
  • Comprehensive medical, dental, and vision coverage
  • Generous paid time off
  • Tuition assistance programs
  • 401K matching and additional yearly contributions
  • Annual performance evaluations and team award bonuses
  • Resources for family support and wellness initiatives
  • Community perks and discounts
Education Requirements:
  • Required: High School Diploma or Equivalent
  • Preferred: Associate's Degree in Business or Health Services
Experience Requirements:
  • Required: 2 years of experience in Insurance Verification and Authorization Retrieval or Referrals
  • Required: 1 year of experience with Health Insurance Websites
  • Preferred: 1 year of experience in Healthcare Business Office or Managed Care

Location: Clearwater, FL

Status: Full Time, Non-Exempt

Shift Hours: 8:00 AM - 4:30 PM

Remote Work: Always

BayCare is an Equal Opportunity Employer for Veterans and Individuals with Disabilities.