The Authorization Specialist Sr is responsible for coordinating and securing pre-certifications and preauthorizations 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.

Education

• 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