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Authorization Specialist Sr at Tampa General Hospital
Tampa, Florida, United States -
Full Time

Start Date

Immediate

Expiry Date

25 Mar, 26

Salary

0.0

Posted On

25 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Authorization, Pre-certification, Medical Terminology, CPT Coding, ICD-9 Coding, Communication Skills, Patient Education, EMR Management, Coordination, Scheduling, Patient Experience, Documentation, Relationship Building, Triage, Support, Liaison

Industry

Hospitals and Health Care

Description
This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders. Provides support to all other Authorization Specialists and act as the unit’s primary liaison to other areas. Required: • High School diploma • Medical Assistant or LPN training - Preferred Work Experience and Additional Information • 5 years of relevant medical office experience to include auth/pre-cert - Required • Knowledge of medical terminology, CPT & ICD-9 coding • Excellent communication skills Duties & Responsibilities • Obtains relevant information to initiate & coordinate the authorization/pre-certification process between the referring physician, insurance carrier, and organization for timely scheduling • Develops working relationships and recommends procedures between the referring physician, the organization, the insurance carrier and other agencies for continuity of care • Assists and educates patients through the process to provide a positive patient experience • Maintain the patient's EMR by entering detailed notes related to the procedure, benefits, and authorization for a complete & accurate record • Responsible for compiling relevant information and documents for peer-to-peer reviews for timely resolution
Responsibilities
The Authorization Specialist Sr is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, as well as scheduling appointments for outpatient testing. They also coordinate patient appointments and provide support to other Authorization Specialists.