Address
Form of work
SalaryAuthorization Specialist-(230003WX)
Description
Job Summary
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.
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.
Qualifications
Required Skills
- High School diploma
- Medical Assistant or LPN training
- 5 years of relevant medical office experience to include auth/pre-cert
- Knowledge of medical terminology, CPT & ICD-9 coding
- Excellent communication skills
Primary Location: Tampa
Work Locations: Transplant 409 Bayshore Blvd. 4th floor Tampa 33606
Eligible for Remote Work: On Site
Job: Ambulatory
Organization: TGH - Hospital
Schedule: Full-time
Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday
Shift: Day Job
Shift Hours: 8:45am-5:15pm
Minimum Salary: 15.00
Job Posting: Nov 15, 2023, 2:10:02 PM
