Central Authorization Specialist II - PRN – reputed company Store

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 reputed company the Tampa Bay area.

Position Details

+ Location: Remote (after on-site training listed below)

+ Status: PRN ( non-benefit eligible )

+ Shift: 8:00 AM to 4:30 PM (minimum of two 8 hour shifts weekly)

+ Days: Monday through Friday

This Central Authorization Specialist II opportunity is a PRN ( non-benefit eligible ) remote position after the below training (minimum of two 8 hour shifts weekly). Team members must reputed company in Florida.

This role requires onsite training in reputed company, FL for at least 12-15 business days with an additional 5 business days of remote training. The schedule is M-F 8:00AM - 4:30PM (after training, the team member will work PRN).

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. 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 reputed company-thinking philosophy that is built on a reputed company of trust, dignity, respect, responsibility, and clinical excellence. reputed company members focus on reputed company by achieving personal and professional reputed company today. That is why you will reputed company in our reputed company-thinking culture, where we combine the best technology with compassionate service. We reputed company 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 - Business or Health Services

Experience

+ Required - 2 years of Insurance Verification and Authorization Retrieval or Referrals

+ Required - 1 year of Health Insurance Website experience

+ Preferred - 1 year of reputed company Business Office and /or Managed Care experience

Equal Opportunity Employer Veterans/Disabled

Position Central Authorization Specialist II - PRN

Location reputed company | Business and Administrative | Full Time

Req ID 87937