Centralized Authorization Analyst II

Join BayCare Health System's dedicated team

As a prominent network of 16 community-based hospitals, long-term acute care facilities, home health services, outpatient centers, and thousands of physicians, we are committed to a forward-thinking philosophy grounded in trust, dignity, respect, responsibility, and clinical excellence.

Our team members are focused on achieving both personal and professional success. In our innovative culture, we merge advanced technology with compassionate service, enhancing health care delivery across the communities we serve.

Position: Central Authorization Specialist II

Department: BayCare Central Billing Office

Key Responsibilities:

• Verify health insurance details and secure authorizations, pre-certifications, and referrals for inpatient, observation, and scheduled outpatient elective services.
• Support patients, clinical teams, physicians, and the BayCare central business office with information and processes to ensure timely authorization turnaround.
• Utilize electronic scheduling, registration, financial systems, payer websites, and recorded calls to confirm health coverage and benefits for medical service approvals.
• Maintain accurate documentation within Soarian or GE systems.
• Collaborate closely with Managed Care, demonstrating an understanding of health insurance regulations, manuals, and contract language.

BayCare offers a comprehensive total rewards package that includes:

• Medical, Dental, and Vision Benefits
• Paid Time Off
• Tuition Assistance
• 401K Match and additional yearly contributions
• Annual performance evaluations and team award bonuses
• Family resources 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

Position Status: Full Time, Non-Exempt

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

Remote Work: Always

Equal Opportunity Employer: Veterans/Disabled