Authorization Specialist - USFTGP UMSA RCO Front End
Summary
Coordinates insurance pre-authorizations for medical procedures, tests, and medications, ensuring patients get timely care while managing EMR documentation and provider communications.
The Authorization Specialist Sr is responsible for coordinating and securing pre-certifications and pre-authorizations for procedures, diagnostic testing, and medications to ensure timely patient access to care. This role facilitates communication between referring providers, insurance carriers, and clinical departments to streamline scheduling and maintain continuity of care. The specialist triages and transcribes patient calls, schedules outpatient appointments, enters detailed documentation in the EMR, and provides guidance to patients throughout the authorization process. As a senior-level role, this position supports other authorization specialists and serves as the primary liaison to internal departments to resolve complex authorization issues and ensure efficient workflow operations.