Pre-Auth & Care Access Specialist

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

Job summary

Tampa General Hospital is seeking an Authorization Specialist to coordinate and secure pre-certifications and pre-authorizations for procedures, tests, and medications. You will act as a liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care with accurate EMR documentation.

Responsibilities include triaging patient communications, coordinating appointments, and assisting with peer-to-peer reviews to overcome authorization barriers

Qualifications

• High School Diploma or GED is required.
• Five (5) years of relevant medical office experience to include auth/pre-cert.
• Knowledge of medical terminology and CPT & ICD-9 coding.
• Excellent written and verbal communication skills.

Responsibilities

• Coordinate and secure insurance pre-certifications and pre-authorizations for procedures, tests, and medications.
• Serve as liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care.
• Document all authorization details accurately in the EMR to ensure compliance and continuity of care.
• Facilitate appointments, triage patient communications, and assist with peer-to-peer reviews to resolve barriers.

Skills

Pre-certification knowledge

Authorizations management

Medical terminology

CPT & ICD-9 coding

Communication skills

EMR documentation

Education

High School Diploma or GED

Job description

Tampa General Hospital is seeking an Authorization Specialist to coordinate and secure pre-certifications and pre-authorizations for procedures, tests, and medications. You will act as a liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care with accurate EMR documentation.

Responsibilities include triaging patient communications, coordinating appointments, and assisting with peer-to-peer reviews to overcome authorization barriers