Central Authorization Specialist II
Join the team that is revolutionizing health care – BayCare Health System
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’s 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's why you'll 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.
Position: Central Authorization Specialist II
Facility: BayCare Central Billing Office / Remote
This Central Authorization Specialist II opportunity is a full-time remote (following onsite training) position. The team member must reside in Florida. The role requires onsite training in Clearwater, FL for at least 3-4 weeks.
The Central Authorization Specialist II job duties include:
- Performing intermediate-level authorization functions for inpatient, observation, and scheduled outpatient elective services
- Collaborates with patients, providers, and internal departments to ensure timely and accurate processing of authorizations and pre-certifications
- Uses revenue cycle and/or radiology information systems, payer websites, and recorded calls to validate insurance coverage and benefits
- Maintains thorough documentation and demonstrates a solid understanding of payer rules, manuals, and contract language
- Contributes to process efficiency and compliance
- Reviews provider orders and current procedural terminology (CPT) codes to verify the scheduled exam accurately matches the physician order
- Utilizes clinical terminology, exam protocols, and payer requirements to ensure the correct procedure is authorized, scheduled, and performed
- Identifies and resolves discrepancies to prevent delays, denials, or patient impact.
BayCare offers a competitive total reward package including:
- Benefits (Health, Dental, Vision)
- Paid time off
- Tuition reimbursement
- 401k match and additional yearly contribution
- Yearly performance appraisals and team award bonus
- Community discounts and more
- AND the chance to be part of an amazing team and a great place to work!
Minimum Qualifications:
Required Experience
- 2 years of Insurance verification and authorization retrieval or referrals required
- 1 year of Health Insurance Website required
- 1 year of healthcare business office and/or managed care experience is preferred
Education:
- HS Graduate or Equivalent GED required
- Associate's Degree preferred
Location: Clearwater, FL
Status: Full Time
Shift Hours: 8:00 AM - 4:30 PM or 8:30 AM - 5:00 PM
Weekend Work: Occasional
Equal Opportunity Employer Veterans/Disabled
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