Job Description
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