Central Authorization Specialist I
Baycare
This is a Full-time position in Largo, MD posted December 14, 2021.
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.
