Authorization Specialist - TGMG Phy Practice Plan

Required Skills:

High School diploma or GED

Work Experience and Additional Information 

Six (6) months’ medical office experience to include auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills 

Technical Knowledge, Skills, and Abilities 

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.