Authorization Supervisor

The Authorization Supervisor is responsible to develop and implement consistent guidelines and staff development for verifying and determining patients eligibility for insurance benefits and securing any necessary prior authorizations for treatment for all medically necessary services and ensuring access for all patients.Essential Functions:Develop, document, and implement best practice workflows for the daily operations of all benefit eligibility coordinator and authorization coordinator staff and Team Leads.Ensure curriculum and technology is well understood by staff and utilized appropriately.Responsible for VOB and Authorization denials management by root cause analysis and coachingManage all preservice denials and appealsMonitors, tracks, and analyzes staff productivityDirect all STAT or pending orders waiting on authorizationsMaintain reporting to ensure there are minimal claims holding due to authorization needs.Intervenes in crisis situations - quickly and independently discerning interventions required - using sound analysis, professional judgment, ethical practice, and common sense.Work closely with providers, patient navigators, front office staff and clinical staff to ensure smooth patient access.Lead monthly check in meeting with all staff members both individually and in group setting to review performance and establish goals moving forward.Completes all performance evaluations, delivers coaching and disciplinary action and performance improvement plans.Work closely with training team for new hire onboarding.Create training policies for VOB and authorization training workflowsDeliver monthly KPIs to manager on time for prior month.Assist with organization initiatives to support integrations for new provider partnersManage and approve all team member timecards, PTO, etc.Regular attendance and punctuality.Performs other duties as assigned.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

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Required Skills & Experience

Three or more years experience in patient access management specifically responsible for authorizations, verification of benefits, denails and/or appeals.Working knowledge of medical terminology as well as ICD-9 and CPT codes.Strong written/verbal communication skills.Strong competency of Microsoft Word, Power point and ExcelAssociates Degree or an equivalent combination of education and experience.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.