Authorization Specialist - Lakeland USFTGP Neurosurgery
- 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
- 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
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