Healthcare Authorization Specialist

Team Member Services; Tampa (FL); On-site; USD 22,000 - 35,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Life insurance

Disability insurance

Paid Time Off from Day One

403-B retirement plan

4 weeks paid parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Tampa, FL seeks a front-office assistant to provide backup coverage for check-in, check-out and medical records, and to obtain and process authorizations within hospital and clinic settings.

The role requires medical terminology knowledge, insurance verification experience, and proficient use of EMR/EPM systems. Strong communication and reliability are essential for timely authorizations and excellent patient service.

Qualifications

• Demonstrated effective communication and interpersonal relation skills (Required)
• Demonstrated computer experience using word processing and data entry software (Required)
• Must type 30 wpm and know 10-key by touch (Required)
• Strong organizational skills (Required)
• Ability to adhere to strict timelines (Required)
• Multi-tasking skills (Required)
• Proficiency in EMR and EPM (Required)
• Previous insurance verification experience (Required)
• Proficiency in Medical Terminology (Required)
• Previous customer service work experience (Required)
• Problem Solving Skills and Attention to Detail (Required)
• Knowledge of ICD-10 and CPT coding (Required)
• Knowledge of payer requirements for authorization and billing (Required)

Responsibilities

• Provides backup to all front office positions, including check-in, check-out, and medical records.
• Obtains authorizations within the hospital and clinic setting.
• Reviews insurance verification and completes the authorization process within established time frames, accurately entering data into software programs.
• Receives coverage authorization and works diligently to meet established timelines, including obtaining authorizations for same-day procedures.
• Works closely with doctors and team members to support efforts to accomplish authorization/verification for both routine and STAT orders.
• Arranges and oversees peer-to-peer authorizations between specialists and insurance companies.
• Requests authorization from insurance companies and hospital departments to provide specific services and parameters of care.
• Serves as liaison between clinic and hospital areas to assure timely authorization and provision of services.
• Provides effective communication to patients, families, team members, and other healthcare professionals while maintaining confidentiality.
• Assists in correcting claim denials and helps patients understand financial responsibility.
• Adheres to all policies and procedures.
• Obtains demographic, diagnostic, and insurance information required to request prior authorizations.
• Other duties as assigned.

Skills

Effective communication

Typing 30 wpm and 10-key

Strong organizational skills

Timelines adherence

Multi-tasking

EMR and EPM proficiency

Insurance verification experience

Medical terminology

Customer service experience

Problem solving & attention to detail

ICD-10 & CPT knowledge

Payer requirements knowledge

General computer/data entry skills

Education

High School Grad or Equiv

Tools

EMR system

EPM system

Job description

AdventHealth in Tampa, FL seeks a front-office assistant to provide backup coverage for check-in, check-out and medical records, and to obtain and process authorizations within hospital and clinic settings.

The role requires medical terminology knowledge, insurance verification experience, and proficient use of EMR/EPM systems. Strong communication and reliability are essential for timely authorizations and excellent patient service.