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Authorization Specialist- USFTGP UMSA RCO Front End

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Before you apply
LocationUnited States-Florida-Tampa
Typefull-time
SeniorityMid
Experience5+ yrs
Company size64+ people
First seenOct 18, 2026 · 2w ago
Verified live13h ago
At a glanceSummarised by Seekless from the posting.
High School Diploma or GED
Five (5) years of relevant medical office experience to include auth/pre-cert
Knowledge of medical terminology, CPT & ICD-9 coding
Excellent communication skills
Understanding of pre‑certification, prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans
Ability to accurately document clinical, insurance, and authorization details in an electronic medical record to ensure compliance and continuity of care
Strong written and verbal communication skills to interact effectively with physicians, insurance carriers, patients, and external healthcare organizations
Ability to educate and guide patients through complex authorization processes while delivering a positive, supportive patient experience
Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast‑paced clinical environment
Skill in gathering medical necessity documentation, identifying authorization barriers, and supporting peer‑to‑peer review coordination for timely resolution
Skills
EMR
electronic medical record
About the role
The Authorization Specialist is responsible for coordinating and securing insurance pre‑certifications and pre‑authorizations for medical procedures, outpatient testing, and prescribed medications. This role serves as a liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care while maintaining complete and accurate documentation within the electronic medical record (EMR). The Authorization Specialist supports continuity of care by facilitating appointments, triaging patient communications, and assisting with peer‑to‑peer reviews to resolve authorization barriers efficiently.
Required:
High School Diploma or GED
Work Experience and Additional Information
Five (5) years of relevant medical office experience to include auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills
Technical Knowledge, Skills and Abilities
* Understanding of pre‑certification, prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans.
* Ability to accurately document clinical, insurance, and authorization details in an electronic medical record to ensure compliance and continuity of care.
* Strong written and verbal communication skills to interact effectively with physicians, insurance carriers, patients, and external healthcare organizations.
* Ability to educate and guide patients through complex authorization processes while delivering a positive, supportive patient experience.
Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast‑paced clinical environment.
Skill in gathering medical necessity documentation, identifying authorization barriers, and supporting peer‑to‑peer review coordination for timely resolution.