Tampa General Hospital
Job Description - Authorization Specialist Sr (250004WC)
Authorization Specialist Sr - (250004WC)
This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and coordinating patient appointments/orders. It provides support to all other Authorization Specialists and acts as the unit’s primary liaison to other areas.
Qualifications
High School diploma
Medical Assistant or LPN training - Preferred
Work Experience and Additional Information
5 years of relevant medical office experience to include auth/pre-cert - Required
Knowledge of medical terminology, CPT & ICD-9 coding
Excellent communication skills
Duties & Responsibilities
Obtains relevant information to initiate & coordinate the authorization/pre-certification process between the referring physician, insurance carrier, and organization for timely scheduling
Develops working relationships and recommends procedures between the referring physician, the organization, the insurance carrier and other agencies for continuity of care
Assists and educates patients through the process to provide a positive patient experience
Maintains the patient's EMR by entering detailed notes related to the procedure, benefits, and authorization for a complete & accurate record
Responsible for compiling relevant information and documents for peer-to-peer reviews for timely resolution
Primary Location Tampa
Work Locations 17 Davis Medical Building, 17 Davis Blvd, Tampa, 33606
Schedule Full-time | Monday, Tuesday, Wednesday, Thursday, Friday | On Site
Organization Academic Medical Group Inc
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Authorization Specialist Sr - (250004WC)
This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and coordinating patient appointments/orders. It provides support to all other Authorization Specialists and acts as the unit’s primary liaison to other areas.
Qualifications
High School diploma
Medical Assistant or LPN training - Preferred
Work Experience and Additional Information
5 years of relevant medical office experience to include auth/pre-cert - Required
Knowledge of medical terminology, CPT & ICD-9 coding
Excellent communication skills
Duties & Responsibilities
Obtains relevant information to initiate & coordinate the authorization/pre-certification process between the referring physician, insurance carrier, and organization for timely scheduling
Develops working relationships and recommends procedures between the referring physician, the organization, the insurance carrier and other agencies for continuity of care
Assists and educates patients through the process to provide a positive patient experience
Maintains the patient's EMR by entering detailed notes related to the procedure, benefits, and authorization for a complete & accurate record
Responsible for compiling relevant information and documents for peer-to-peer reviews for timely resolution
Primary Location Tampa
Work Locations 17 Davis Medical Building, 17 Davis Blvd, Tampa, 33606
Schedule Full-time | Monday, Tuesday, Wednesday, Thursday, Friday | On Site
Organization Academic Medical Group Inc
#J-18808-Ljbffr