Central Authorization Specialist II

Join the team that is revolutionizing health care – reputed company

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’s reputed company on a reputed company of trust, dignity, respect, responsibility, and clinical reputed company.

reputed company members focus on reputed company by achieving personal and professional reputed company today. That's why you'll 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.

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 reputed company in Florida. The role requires onsite training in reputed company, 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 reputed company 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 reputed company 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, reputed company) 
• 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 reputed company 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 reputed company business office and/or managed care experience is preferred 

Education:

• HS Graduate or Equivalent GED required
• Associate's Degree preferred

Location: reputed company, 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