Authorizations

Job Description

Job Description

About Company:

Founded in 1993, Intercoastal Medical Group is an association of more than 100 highly credentialed physicians encompassing many medical specialties serving Sarasota County and Manatee County, Florida with nine locations. Intercoastal is the premier provider of choice in the Sarasota / Bradenton area.

Intercoastal Medical Group also prides itself on offering this area’s most current technology and resources. Extensive laboratory and diagnostic equipment and a day surgery center allow for fast and accurate diagnostic tests and procedures at conveniently located Intercoastal facilities.

We are always looking for qualified and compassionate professionals to join our team of dedicated providers and staff. If you enjoy working in a fast-paced environment where you can truly make a difference in the lives of patients, then Intercoastal Medical Group is the place for you.

About the Role:

The Authorizations role within the Health Care Services industry is pivotal in ensuring that patients receive timely and appropriate access to medical services by managing and processing healthcare authorizations efficiently. This position involves coordinating with healthcare providers, insurance companies, and internal teams to verify coverage, obtain necessary approvals, and maintain compliance with regulatory requirements. The successful candidate will play a critical role in reducing delays in patient care by accurately interpreting insurance policies and facilitating communication between all parties involved. Additionally, this role requires meticulous attention to detail to manage documentation and track authorization statuses to support seamless healthcare delivery. Ultimately, the Authorizations professional contributes to enhancing patient satisfaction and operational efficiency within the healthcare organization.

Location: Neurology at 2881 Hyde Park Street, Sarasota

Hours: Monday-Friday, 8am to 5pm

Minimum Qualifications:

• High school diploma or equivalent; associate degree or higher in a related field preferred.
• Experience in healthcare administration, medical billing, or insurance authorization processes.
• Familiarity with healthcare insurance plans, medical terminology, and authorization procedures.
• Strong organizational skills and attention to detail.

Preferred Qualifications:

• Experience working within a health care services environment, particularly in authorization or utilization management roles in specialty.
• Knowledge of HIPAA regulations and healthcare compliance standards.
• Excellent communication skills, both written and verbal.
• Ability to work collaboratively in a team-oriented environment.

Responsibilities:

• Review and process authorization requests for various medical procedures and services in accordance with insurance guidelines and company policies.
• Communicate effectively with healthcare providers, insurance representatives, and internal departments to obtain and verify necessary information for authorization approvals.
• Maintain accurate records of all authorization activities, ensuring compliance with healthcare regulations and organizational standards.
• Monitor authorization statuses and follow up on pending requests to prevent delays in patient care.
• Assist in resolving any discrepancies or issues related to authorizations by collaborating with relevant stakeholders.

Skills:

In this role, required skills such as attention to detail and organizational abilities are essential for accurately processing and tracking authorization requests to ensure compliance and timely patient care. Communication skills are used daily to liaise with healthcare providers and insurance companies, facilitating clear and effective information exchange. Familiarity with healthcare software and systems enables efficient management of authorization workflows and documentation. Preferred skills, including knowledge of HIPAA regulations and medical billing certifications, enhance the candidate's ability to navigate complex healthcare compliance requirements and improve overall process accuracy. Together, these skills support the smooth operation of authorization processes, contributing to improved patient outcomes and organizational efficiency.

Intercoastal is a drug free workplace and EEO compliant.