CenterWell Home Health
Healthcare Insurance Authorization Supervisor
CenterWell Home Health, New York, New York, United States
Healthcare Insurance Authorization Supervisor
Base pay range: $65,000 - $88,600 per year.
Shift/Availability Requirements
Monday - Friday
Available between the hours of 7 a.m. - 7 p.m. EST
Responsibilities
Supervise daily authorization activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of authorization standards/procedures, ensuring adherence to policies and procedures and initiating correspondence to insurance companies.
Supervise authorization management functions and maintain assigned portfolios at acceptable levels.
Provide guidance and assistance to management at branches assigned on authorization issues.
Develop and implement plans to ensure authorizations are within stated objectives.
Supervise the maintenance of provider manuals, patient information updates, and various logs.
Ensure that authorizations are within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of authorization regulations/requirements and communicate changes to all pertinent personnel.
Required Skills
High School Diploma or equivalent.
Minimum of three years of healthcare-related authorization experience.
Some experience in a lead or supervisory role normally required.
Strong knowledge of collection and accounts receivable procedures preferred.
Effective communication skills.
Home Office Requirements
Minimum download speed of 25 Mbps and upload speed of 10 Mbps. Wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connections may be used only if approved by leadership.
Employees who live and work from Home in California, Illinois, Montana, or South Dakota will receive a bi‑weekly payment for their internet expense.
Home or hybrid office employees will be provided with telephone equipment appropriate to meet the business requirements for their position.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Benefits
Health benefits effective day 1
Paid time off, holidays, and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours 40
Pay Range $65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole‑person well‑being. Benefits include medical, dental and vision benefits, 401(k) retirement plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance, and many other opportunities.
About CenterWell Home Health CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery, or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech‑language pathologists, home health aides, and medical social workers, all working together to help patients rehabilitate, recover and regain independence.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
It is the policy of Humana to comply with the Equal Pay Act and to provide employees with pay equity that reflects a wide distribution of compensation levels. The company is committed to a diverse workforce and to a fair, proactive approach to honest disclosure and inclusion.
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Shift/Availability Requirements
Monday - Friday
Available between the hours of 7 a.m. - 7 p.m. EST
Responsibilities
Supervise daily authorization activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of authorization standards/procedures, ensuring adherence to policies and procedures and initiating correspondence to insurance companies.
Supervise authorization management functions and maintain assigned portfolios at acceptable levels.
Provide guidance and assistance to management at branches assigned on authorization issues.
Develop and implement plans to ensure authorizations are within stated objectives.
Supervise the maintenance of provider manuals, patient information updates, and various logs.
Ensure that authorizations are within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of authorization regulations/requirements and communicate changes to all pertinent personnel.
Required Skills
High School Diploma or equivalent.
Minimum of three years of healthcare-related authorization experience.
Some experience in a lead or supervisory role normally required.
Strong knowledge of collection and accounts receivable procedures preferred.
Effective communication skills.
Home Office Requirements
Minimum download speed of 25 Mbps and upload speed of 10 Mbps. Wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connections may be used only if approved by leadership.
Employees who live and work from Home in California, Illinois, Montana, or South Dakota will receive a bi‑weekly payment for their internet expense.
Home or hybrid office employees will be provided with telephone equipment appropriate to meet the business requirements for their position.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Benefits
Health benefits effective day 1
Paid time off, holidays, and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours 40
Pay Range $65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole‑person well‑being. Benefits include medical, dental and vision benefits, 401(k) retirement plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance, and many other opportunities.
About CenterWell Home Health CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery, or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech‑language pathologists, home health aides, and medical social workers, all working together to help patients rehabilitate, recover and regain independence.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
It is the policy of Humana to comply with the Equal Pay Act and to provide employees with pay equity that reflects a wide distribution of compensation levels. The company is committed to a diverse workforce and to a fair, proactive approach to honest disclosure and inclusion.
#J-18808-Ljbffr