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Central Authorization Specialist I

Company: BayCare
Location: Largo
Posted on: September 13, 2021

Job Description:

Description:

The Central Authorization Specialist I is responsible for verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for medical outpatient elective services. Assists 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. Utilizes electronic scheduling/registration/financial systems, payers? websites, and recorded calls to validate health coverage and benefits in processing approval for medical services. Maintains proper documentation in Soarian or GE systems. Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language. 1 Year of Insurance Verification and Authorization Retrieval or Referrals is required. 1 year of Healthcare Business Office, Managed Care and/or Health Insurance Website experience is preferred.


Qualifications:

Certifications and Licensures
None Required

Education
Required High School or Equivalent
Preferred Associate's Business
Preferred Associate's Health Services

Experience
Required 1 year Reference summary for details
Preferred 1 year Reference summary for details

Specific Skills
Required Customer service skills
Required Interpersonal skills
Required Work independently
Required Critical thinking skills
Required Computer skills appropriate to position
Required Written and verbal communication skills
Required Organizational skills
Required Administrative and clerical skills
Required Medical terminology use and understanding

Keywords: BayCare, Largo , Central Authorization Specialist I, Other , Largo, Florida

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