Authorization Specialist — Medical Pre‑Certifications & Care Access

Tampa General Hospital; Tampa (FL); Hybrid; USD 42,000 - 66,000; Full time

Job summary

Academic Medical Group Inc is seeking an Authorization Specialist to coordinate pre-authorizations for procedures, testing, and medications. You will liaise with providers, insurers, and patients to secure timely approvals and document all steps in the EMR.

You will manage multiple authorizations in a fast-paced setting at 17 Davis Medical Building, Tampa, FL, with a Monday–Friday schedule and on-site work. Relevant experience and familiarity with CPT/ICD-9 coding are preferred.

Qualifications

• Knowledge of pre-certification and authorization requirements across payer types (commercial, Medicare, Medicaid).
• Ability to accurately document clinical, insurance, and authorization details in the EMR.
• Strong written and verbal communication with physicians, insurers, patients.
• Ability to educate patients on authorization steps and insurance processes.
• Multitasking in a fast-paced clinical environment with deadlines.
• Knowledge of CPT and ICD-9 coding.

Responsibilities

• Obtain pre-authorizations and pre-certifications for procedures, outpatient testing, and medications.
• Collect, review, and submit required clinical and demographic information for authorization requests.
• Coordinate workflows between providers, carriers, and internal departments to schedule services.
• Schedule outpatient diagnostic testing and procedures with internal/external providers.
• Maintain EMR documentation including procedure details, benefits, and payer communications.
• Triage and route patient calls to appropriate staff.
• Educate patients on authorization requirements and scheduling steps.
• Build relationships with physicians and insurers to support continuity of care.
• Submit documentation for peer-to-peer reviews, appeals, or medical necessity determinations.
• Monitor statuses and follow up on pending requests to minimize delays.

Job description

Academic Medical Group Inc is seeking an Authorization Specialist to coordinate pre-authorizations for procedures, testing, and medications. You will liaise with providers, insurers, and patients to secure timely approvals and document all steps in the EMR.

You will manage multiple authorizations in a fast-paced setting at 17 Davis Medical Building, Tampa, FL, with a Monday–Friday schedule and on-site work. Relevant experience and familiarity with CPT/ICD-9 coding are preferred.