St Petersburg
10 days ago
Patient Referral Specialist - SunCoast

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. 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.

Summary:
Obtains referrals and authorizations for BayCare Medical Group practice offices. Utilizes practice management system and other software to gain information to assist in processing referrals. Understands and works with various insurance payer rule sets, payer manuals and assist providers, practices and staff in timely turnaround of authorizations and referrals. Cross trains to assist practices in other front and back office functions. Perform other duties as assigned. Familiarity & ability to use Various software including Availity, Emdeon and other systems.

Minimum Qualifications:

Other information:

One year of healthcare experience required. Experience with obtaining authorizations for a Specialty office and experience using on-line payer authorization systems preferred.


Education:
Essential:
* HS Graduate or Equivalent GED


Education equivalent experience:
Essential:
* Required - High School or Equivalent




 


Facility:

BayCare Health System, Centralized Services-BMGS

Location: BayCare Medical Group Suncoast

Status: Full Time, Exempt: No

Shift Hours: 8:00 A.M. -5:00 P.M. (MAY VARY)

Shift: Shift 1

Shift 1 = Days, 2 = Evenings,  3 = Nights,  4 = Varies

Weekend Work: None

On Call: No

How often will this team member be working remotely? Never

Equal Opportunity Employer Veterans/Disabled

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