Central Authorization Specialist II (Remote) e-id-15369

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.

Position Details:

  • Location: Remote (after on-site training)
  • 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. Team members must reside in Florida.

This role requires onsite training in Clearwater, FL for at least 12 business days. The schedule is M-F 8:00AM - 4:30PM (after training, the team member will work the hours listed above).

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Responsibilities:

The Central Authorization Specialist II is responsiblefor 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 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 - 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 Healthcare Business Office and /or Managed Care experience.
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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