Central Authorization Specialist
BayCare
Central Authorization Specialist II - 155183 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 (must reside in Florida) - Following the required onsite training below Status: Full time Shift: 8:00 AM to 4:30 PM Days: Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following the below onsite training) position. Team members must reside in Florida. This role requires onsite training in Clearwater, FL for 5 business days. The schedule is M-F 8:00AM - 4:30PM (after training, the team member will work the hours listed above) Responsibilities: The Central Authorization Specialist II is responsible for 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. BayCare offers a competitive total reward package including: Benefits (Medical, Dental, Vision) Paid Time Off Tuition Assistance 401K Match and additional yearly contribution Annual performance appraisals and team award bonus Family resources and wellness opportunities Community perks and discounts 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 Equal Opportunity Employer Veterans/Disabled BayCare
- The Central Production Control Specialist is an office-based role that uses centralized system-based tools to direct and manage production control across... ...and influencing stakeholders without direct authority Strong analytical and problem‑solving skills, with the...SuggestedTemporary workWork at officeFlexible hours
$25.42 - $30.97 per hour
...Responsible for screening prior-authorization and coordination of specialized services requests... ..., as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle... ...and ancillary systems (ADT/Prelude/Grand Centrale). Basic computer proficiency, including...SuggestedHourly payFull timeFixed term contractWork at officeImmediate startRemote workBoston Medical Center
New York, NY4 days ago- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations: 3131 Princeton Piketime type: Full... ...services) and coordinates timely corrections with Central Scheduling, clinical departments, physician offices, and...SuggestedFull timeTemporary workPart timeWork at officeFlexible hours
- ...Silna Health (silnahealth.com) is a health technology company that handles eligibility & benefit checks and prior authorizations for specialty healthcare providers. Our mission is to streamline how providers financially clear patients for care, so providers can spend...SuggestedHourly payFull timeFor contractorsRemote work
The Voluntary Protection Programs Participants' Association,...
New York, NY19 hours ago - ...is seeking an experienced professional for a full-time role in West Atlantic City, NJ. This position is focused on managing pre-authorization processes and requires strong leadership qualities, medical terminology knowledge, and prior experience in similar roles. Responsibilities...SuggestedFull time
$60k - $80k
Summary As a member of a centralized client service group, the Private Client Service Associate will provide onboarding and client service... ...offer visa sponsorship for this position. Applicants must be authorized to work in the United States without the need for current or...Local areaShift work$28.72 - $36.92 per hour
...Authorization-Referrals Specialist III The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors...Hourly payFull timeWork at officeLocal areaImmediate start- ...advancement Paid time off Profit sharing Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven experience with insurance verification of commercial and HMO plans and...
MARIAN DAVID M D P C
Kew Gardens, NY4 days ago - ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in a...Remote jobWork from home
- LBAPS, located in New York, is seeking an Authorization Specialist to support insurance authorization and verification processes. The ideal candidate will manage multiple cases while ensuring timely access to services for individuals with Autism Spectrum Disorder. The...
- A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
$18 - $22 per hour
...extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote...Hourly payFull timeTemporary workWork at officeRemote workMonday to Friday- A healthcare organization seeks a Scheduling and Prior Authorization Representative to manage scheduling tasks for surgeries and procedures. This full-time remote role requires effective communication and customer service skills, along with knowledge of hospital processes...Remote jobFull time
- ...Analysis therapy to individuals with Autism Spectrum Disorder. Our authorization team plays a crucial role in ensuring children receive timely... ...they need. PositionOverview We are seeking an Authorization Specialist to support insurance authorization and verification processes...
- Silna Health, Inc. is seeking a prior authorization and benefits verifications expert in New York, NY. You'll collaborate with ABA and mental health providers to streamline administrative processes, ensuring timely authorizations. The ideal candidate has 2+ years of experience...Remote jobHourly payPermanent employmentFull time
- Capital Health is seeking an Authorization Integrity Specialist responsible for authorization controls and revenue management in Lawrenceville, NJ. This full-time position involves verifying services for scheduled accounts and participating in claim quality improvement...Full time
$22 - $26 per hour
...role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:30pm...Remote jobMonday to FridayShift work- Job Description The HMO Authorization Specialist is an essential component of the certified agency team. The HMO Authorization Specialist is responsible for requesting authorization for home care services for patients with HMO/Managed Care payment sources and acts as a...Local area
- Authorization Specialist Authorization Specialist ensures timely obtaining of authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services within the Revenue Cycle Department. Responsibilities Identify appointments...Work at officeLocal areaImmediate start
$23.01 - $34.24 per hour
...prominent healthcare institution in New York is seeking a candidate to coordinate clinical information requests and manage payer authorizations. Responsibilities include communication with third-party payers, data entry, and reporting, as well as supporting case managers...Hourly pay- Summit Health Management is looking for an Authorization Specialist in New Jersey to ensure timely obtaining of authorizations for surgical procedures and diagnostic tests. Responsibilities include verifying insurance, handling referrals, and maintaining patient confidentiality...Work at office
- Weill Cornell Medical College is seeking a Pre-Authorization Representative in New York. This role involves managing insurance verifications, obtaining necessary prior authorizations, and ensuring patient communication. Candidates should possess a high school diploma or...Work at officeWeekday work
$18.92 - $23.46 per hour
...carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Minimize turnaround...Full timeContract workTemporary workLocal areaRemote workFlexible hours- Summary Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper...Work at officeLocal areaRemote workMonday to FridayShift workDay shift
- Hamilton Medical Center, Inc. is searching for a qualified candidate to manage patient authorization documentation and ensure compliance with health policies. This role requires excellent communication and problem-solving skills along with extensive knowledge of health...Full time
$18.92 - $23.46 per hour
Vital Care Infusion Services is seeking a full-time team member focused on initiating authorizations and ensuring accuracy and adherence to processes. Responsibilities include reviewing patient files, communicating with franchise partners and payers, and documenting all...Remote jobFull time- Duties Verifies and obtains all Worker's Compensation, MVA, Health insurance coverages and pre-certs/Authorizations prior to patients appointments Duties Verifies and obtains all Worker's Compensation, MVA, Health insurance coverages and pre-certs/Authorizations prior...Immediate start
- ...worth collectors. About The Role The Senior Spirits Specialist / Spirits Specialist will play a central role in driving the growth of Bonhams’ Spirits... ...and verbal skills; able to represent the brand with authority and professionalism. Highly organized and detail‑oriented...Temporary workSummer holidayFlexible hours
$22 per hour
...Overview The Prior Authorization Coordinator will facilitate the logging in and out of all prior authorization, appeal, reimbursement and grievance requests, and follow-up on requests to ensure that all are resolved and completed in a timely manner. The coordinator will...Hourly payTemporary workIndependent Health
New York, NY4 days ago£115k - £145k per year
.... We ask why they were done that way at all. The Role As our Central Expansion Lead, you own how Gigs enters new markets, end to end... ...-to-back), ideally including at least one where regulatory authorization or entity formation was a primary gate. 5+ years in market expansion...Work at officeLocal areaRemote workWork from homeHome officeDay shift
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