Authorization Specialist -USFTGP UMSA RCO Front End

Tampa General Hospital; Tampa (FL); Hybrid; USD 50,000 - 70,000; Full time

Job summary

Academic Medical Group Inc in Tampa is seeking an Authorization Specialist Sr to coordinate and secure pre-certifications and pre-authorizations for procedures, testing, and meds, ensuring timely access to care.

The role facilitates communication between referring providers, insurers, and clinical departments, triages calls, schedules outpatient appointments, and documents in the EMR with attention to detail.

Qualifications

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

Responsibilities

• Coordinate and secure pre-certifications and pre-authorizations for procedures, testing and medications.
• Facilitate communication between referring providers, insurers and clinical departments.
• Triage calls, schedule outpatient appointments and document in the EMR.
• Serve as primary liaison to internal departments and resolve complex authorization issues.
• Support other authorization specialists and ensure efficient workflow.

Skills

Communication

Medical terminology

CPT ICD-9 coding

EMR proficiency

Scheduling coordination

Education

High School Diploma or GED

Tools

EPIC EMR

Job description

Job Description - Authorization Specialist -USFTGP UMSA RCO Front End (2600032H)

Job Description

Authorization Specialist -USFTGP UMSA RCO Front End - ( 2600032H )

Description

The Authorization Specialist Sr is responsible for coordinating and securing pre-certifications and pre-authorizations 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.

Qualifications

Required:

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

Technical Knowledge, Skills and Abilities

Comprehensive knowledge of insurance authorization processes including pre-certification requirements, medical necessity guidelines, and payer-specific policies.

Strong proficiency in EMR systems (e.g., EPIC) with the ability to document detailed notes, track authorization statuses, and manage patient scheduling.

Excellent communication and interpersonal skills to work effectively with physicians, insurance carriers, patients, and internal departments.

Ability to analyze and interpret clinical information to determine authorization needs and compile documentation for peer-to-peer reviews.

Strong organizational and time-management skills to manage multiple authorizations, meet deadlines, and ensure timely scheduling.

Customer service and patient education skills to guide patients through the authorization and scheduling process with clarity and compassion.

Primary Location

Tampa

Work Locations

USF Health Byrd Alzheimer's In 4001 E. Fletcher Avenue Tampa 33613

Eligible for Remote Work : On Site

Organization

Academic Medical Group Inc

Scheduled Days : Monday, Tuesday, Wednesday, Thursday, Friday