Authorization Specialist Senior - USFTGP UMSA RCO Front End

Tampa General Hospital, Inc.

Tampa (FL)

On-site

USD 65,000 - 85,000

Full time

3 days ago
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Job summary

Tampa General Hospital, Inc. is seeking an Authorization Specialist Sr to coordinate pre-certifications and preauthorizations for procedures, tests, and medications, ensuring timely access to care.

This senior role supports other specialists and serves as the primary liaison to internal departments to resolve complex authorization issues and maintain efficient workflow. This position involves coordinating with providers and insurers, triaging calls, scheduling outpatient appointments, and

Qualifications

  • 5 years of relevant medical office experience including auth/pre-cert.
  • Knowledge of CPT & ICD-9 coding.
  • Excellent communication skills.

Responsibilities

  • Coordinate and secure pre-certifications and preauthorizations for procedures, testing, and medications.
  • Serve as liaison between referring providers, insurers, and clinical departments to streamline access to care.
  • Triage and transcribe patient calls and schedule outpatient appointments.
  • Enter detailed documentation in the EMR and guide patients through the authorization process.

Skills

Communication skills
Interpersonal skills

Education

High School Diploma or GED

Tools

CPT & ICD-9 coding knowledge

Job description

The Authorization Specialist Sr is responsible for coordinating and securing pre-certifications and preauthorizations for procedures, diagnostic testing, and medications to ensure timely patient access to care. This role facilitates communication between referring providers, insurance carriers, and clinical departments to streamline scheduling and maintain continuity of care. The specialist triages and transcribes patient calls, schedules outpatient appointments, enters detailed documentation in the EMR, and provides guidance to patients throughout the authorization process. As a senior-level role, this position supports other authorization specialists and serves as the primary liaison to internal departments to resolve complex authorization issues and ensure efficient workflow operations.

Education

High School Diploma or GED

Work Experience and Additional Information
  • Five (5) years of relevant medical office experience to include auth/pre-cert.
  • Knowledge of medical terminology, CPT & ICD-9 coding.
  • Excellent communication skills
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