Authorization Specialist - Lakeland USFTGP Neurosurgery

Job Description - Authorization Specialist - Lakeland USFTGP Neurosurgery (2500045A)

Authorization Specialist - Lakeland USFTGP Neurosurgery - ( 2500045A )

This position is responsible for obtaining pre‑certifications and pre‑authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, coordinating patient appointments and orders.

• Required: Medical Assistant or LPN training - Preferred
• 6 months medical office experience to include auth/pre‑cert
• Knowledge of medical terminology, CPT & ICD‑9 coding
• Excellent communication skills

• 6 months medical office experience to include auth/pre‑cert
• Knowledge of medical terminology, CPT & ICD‑9 coding
• Excellent communication skills

• 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.
• Maintains the patient’s EMR by entering detailed notes related to the procedure, benefits, and authorization for a complete & accurate record.
• Compiles relevant information and documents for peer‑to‑peer reviews for timely resolution.

Lakeland

LRMC Lakeland Regional Medical 1325 Lakeland Hills Blvd Lakeland 33805

Eligible for Remote Work:
Hybrid Remote

Academic Medical Group Inc

Full‑time

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