Prior Authorization Specialist - Fast-Paced Healthcare

AdventHealth; Tampa (FL); On-site; USD 22,000 - 35,000; Full time

Job summary

AdventHealth Tampa is hiring an Authorization Clerk to support front-line clinical operations by obtaining authorizations, verifying insurance, and coordinating with doctors and departments to ensure timely coverage.

You will communicate with patients and families, review payer requirements, and maintain confidentiality while meeting tight timelines; requires experience in medical terminology and EMR systems.

Qualifications

• Demonstrated effective communication and interpersonal skills.
• Must be able to type 30 wpm and know 10-key by touch.
• Strong organizational skills and ability to adhere to strict timelines.
• Experience in medical terminology and insurance verification.
• Knowledge of ICD-10 and CPT coding and payer requirements.

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.
• Receives coverage authorization and works to meet timelines, including same-day procedures.
• Works with doctors and team members to support authorization/verification for routine and STAT orders.
• Requests authorization from insurance companies and hospital departments for specific services and care parameters.

Skills

Communication skills

Data entry

Typing 30 wpm

10-key by touch

Organizational skills

Timelines

Multi-tasking

EMR

EPM

Insurance verification

Medical terminology

Customer service

Problem solving

Attention to detail

ICD-10 & CPT knowledge

Payer requirements knowledge

Education

High School Grad or Equiv

Tools

EMR

EPM

Job description

AdventHealth Tampa is hiring an Authorization Clerk to support front-line clinical operations by obtaining authorizations, verifying insurance, and coordinating with doctors and departments to ensure timely coverage.

You will communicate with patients and families, review payer requirements, and maintain confidentiality while meeting tight timelines; requires experience in medical terminology and EMR systems.