*Supervisor- Central Authorization/Full Time/Hybrd - Michigan Residents

Central Authorization: Supervisor is responsible for functions related to timely procurement of referrals and authorizations and denial management related to scheduled outpatient services.. This includes but is not limited to: Performing as a central resource to proactively and continuously educate impacted staff on payor regulations/ requirements, Coordinating staff work load to ensure referrals and authorizations are secured prior to patient arrival Monitoring and adjusting workflow processes and work queues to ensure staff are working the appropriate accounts Monitoring and maintaining acceptable work queue volumes for Referrals, DNB's, Charge Review and Denials Facilitating communication between insurance representatives, clinicians, case management, clinical staff, central business office, community physician offices and patients as needed * Actively participating in educating and improving performance with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings which involve HFH management. Ensuring that services with high risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the highest rate of payment recovery possible Acts as a central resource to manage, monitor and track data related to underpayments, denials and revenue opportunities to plan/implement performance improvement strategies Researches, develops and tests methodologies relative to special projects and quality assurance initiatives. Provides input, ideas and analyzes data for processing improvements. Supervises special project teams and coordinates tasks related to a specific section of the billing/receivable process EDUCATION AND EXPERIENCE: Associates degree in Business Administration, Accounting, or related field preferred. Two years of experience with healthcare accounts receivable required. Knowledge of best practices related to revenue cycle operations and day-to-day functionality. Knowledge of CPT and diagnosis coding and Third-Party billing regulations preferred. Experience at a large, complex, integrated healthcare organization preferred. Experience with insurance billing, patient accounting systems and other related applications preferred. Communication skills and the ability to interact effectively with staff. Ability to manage, coordinates, and leads simultaneously. Ability to estimate time frames and meet projected deadlines. Ability to work with a variety of individuals in executive, managerial and staff level positions. Ability to work independently. Ability to understand and lead change. Goal oriented, exceptional interpersonal skills, change management and political skill. Additional Information

Organization: Corporate Services Department: CBO Central Authorization Unit Shift: Day Job Union Code: Not Applicable