Authorizations Supervisor

Classification

Full Time

Supervised By

Contact Center Manager

Job Description

The Authorizations Supervisor is responsible for ensuring excellent patient care through effective leadership and management techniques. The Authorizations Supervisor will effectively own the business and lead a team of Authorization representatives while upholding the company’s mission. The Authorizations Supervisor is responsible for the development of revenue and volumes by securing payment for services through verification of authorizations, eligibility, benefits and identifying the patient’s financial risk in advance of patient’s appointment consistent with established protocols.

Responsibilities

– Hands-on engagement in understanding and applying Lean

• Maintains an unrelenting focus on improvement and providing customer value

• Makes learning and practicing of Lean principals a daily priority

• Manage prior authorizations requests for all sites and ensure that they are properly and closely monitored and secured in a timely fashion.

• Manage the validation and accurate calculation of patient coverage and payments due prior to patient appointments according to department guidelines.

• Train authorizations representatives how to initiate prior Authorization request to carriers and/or primary care physicians.

• Manage and maintain proper notation in practice management system such as patient coverage, benefits and eligibility results.

• Ability to meet minimum daily and monthly productivity and performance metrics

• Analyze patients’ abilities to pay to determine charges on a sliding scale.

• Be a subject matter expert for Authorization Representatives for problem solving.

• Drive volume by securing reimbursement for pre and post services rendered through various insurance verification processes.

• Communicates effectively to internal and external inquiries relating to insurance, benefits or authorizations.

• Drive business results and increase patient satisfaction through active performance management of staff to ensure consistent achievement of patient care and operational
goals based on key performance indicators and metrics

• Effectively manages employee performance by consistently providing constructive feedback, taking a collaborative approach to employee development, and administering
necessary training including evaluations and performance improvement plans. Hold team accountable and ensure the company’s core values and performance standards are met.

• Communicate, document, implement, and reinforce organizational goals, policies, values, initiatives and workflow in a way that ensures the team understands their
contribution and accountability to the success of the organization

• Manage and analyze daily/weekly/monthly operational statistics related to patient volume, modality volume, front desk productivity, TOS/Billing accuracy.

• Identify methods to continuously improve internal processes and increase patient satisfaction efficiently with employee engagement.

• Take an active part in listening to the voice of the customer by periodically making waiting room rounds.

• Ensuring all staff on site is compliant with company policies, procedures, state and federal regulations.

• Manage labor audits and review staff scheduling to maximize efficiency.

Location

Hillcrest

Hours

Varies

Qualifications

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education and/or Experience – Associate’s degree (A. A.) or equivalent from two-year college or technical school; or a minimum of three years of related experience and/or training.

To Apply

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