Authorization Specialist - USFTGP RCO

Authorization Specialist - USFTGP RCO

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.

Qualifications:

• Required: High School diploma
• Medical Assistant or LPN training - Preferred
• Work Experience and Additional Information:
• 6 months medical office experience to include auth/pre-cert
• 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 resolutions

Primary Location: Tampa

Work Locations: USF Health Morsani Center AHC 13330 USF Laurel Dr. Tampa 33612

Eligible for Remote Work: On Site

Job: Patient Financial Services

Organization: Academic Medical Group Inc

Schedule: Full-time

Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday

Shift: Day Job

Job Type: On Site

Shift Hours: 8:00am - 4:30pm

Minimum Salary: 35,110.40