Authorization Specialist - TGMG Phy Practice Plan

Tampa General Hospital

Tampa (FL)

Hybrid

USD 32,000 - 39,000

Full time

9 days ago

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Benefits offered by this job

Hybrid remote work

Job summary

Academic Medical Group Inc in Tampa is seeking an Authorization Specialist to coordinate insurance pre-certifications and pre-authorizations for procedures, outpatient testing, and prescribed medications. This role acts as a liaison between providers, insurers, patients, and external agencies to ensure timely access to care while maintaining complete and accurate documentation in the EMR.

The Authorization Specialist supports continuity of care by facilitating appointments, triaging patient

Qualifications

Six months of medical office experience including auth/pre-cert.
Knowledge of medical terminology, CPT & ICD-9 coding.
Excellent communication skills.

Responsibilities

Coordinate and secure insurance pre-certifications and pre-authorizations for procedures, outpatient testing, and medications.
Serve as liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care.
Maintain complete and accurate documentation in the EMR and support peer‑to‑peer reviews to resolve barriers.

Skills

Medical terminology

CPT coding

ICD-9 coding

Communication skills

EMR documentation

Multitasking

Education

High School diploma or GED

Job description

The Authorization Specialist is responsible for coordinating and securing insurance pre‑certifications and pre‑authorizations for medical procedures, outpatient testing, and prescribed medications. This role serves as a liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care while maintaining complete and accurate documentation within the electronic medical record (EMR). The Authorization Specialist supports continuity of care by facilitating appointments, triaging patient communications, and assisting with peer‑to‑peer reviews to resolve authorization barriers efficiently.

Required Skills

High School diploma or GED

Work Experience And Additional Information

Six (6) months’ medical office experience to include auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills

Technical Knowledge, Skills, And Abilities

Understanding of pre‑certification, prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans.
Ability to accurately document clinical, insurance, and authorization details in an electronic medical record to ensure compliance and continuity of care.
Strong written and verbal communication skills to interact effectively with physicians, insurance carriers, patients, and external healthcare organizations.
Ability to educate and guide patients through complex authorization processes while delivering a positive, supportive patient experience.
Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast‑paced clinical environment.
Skill in gathering medical necessity documentation, identifying authorization barriers, and supporting peer‑to‑peer review coordination for timely resolution.

Primary Location

Tampa

Work Locations

University Professional Center

Eligible for Remote Work

Hybrid Remote

Job

Patient Financial Services

Organization

Academic Medical Group Inc

Schedule

Full-time