Medication Liaison - Licensed Practical Nurse (LPN)
About The Position
American Medical Group is a multi specialty medical group serving the Florida Panhandle with locations stretching from Pensacola to Panama City. We’re seeking a detail driven Licensed Practical Nurse (LPN) to join our clinical documentation review team that will be based in our Destin location working alongside our Rheumatology department. In this role, you’ll be working closely with providers, and the Insurance verification team that specializes in the approval process of specialty medications, ensuring that clinical records meet medical payer policies, regulatory requirements, and internal quality standards. Your work directly supports accurate reimbursement, reduces denials, and strengthens our overall compliance posture. The primary goal of this position is to expedite the specialty medication approval process and improve coordination between clinical and billing teams.
Requirements
- Active, unrestricted LPN license in FL or Compact
- Strong understanding of medical terminology, clinical workflows, and charting practices
- Excellent attention to detail, critical thinking, and communication skills
- Comfortable working with EMRs (ECW) and documentation review tools
Nice To Haves
- Experience in Rheumatology
- Clinical experience in acute care, outpatient, home health, or similar setting
- Experience with payer policies, utilization review, prior authorization, or clinical documentation improvement
Responsibilities
- Review clinical documentation for completeness, accuracy, and alignment with payer specific medical policies, coverage criteria, and billing guidelines.
- Communicating with providers regarding documentation needs, including encounter notes, required labs, and supporting clinical information
- Identify documentation gaps, inconsistencies, or risks that may impact reimbursement or compliance.
- Collaborating with providers and the specialty medication billing team to reduce delays and streamline approvals
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
