Supervisor, Authorization, Full Time, Days ,Insurance Verification, Morristown, NJ

Summary:

• Supervises Authorization Specialist I, Authorization Specialist II, and Authorization Team Leads.

• Generates weekly performance metrics, including both operational KPIs and daily/weekly productivity and quality measures. Action plans for improvement should be created and executed, as necessary to meet metric goals.

• Coordinates with external groups on escalated visits or workflow alignment.

Job Duties:

• Supervise staff on day-to-day assignments and completion of all expected work (team consists of Authorization Specialist I, Authorization Specialist II, and Authorization Team Leads). This should include:

• Providing guidance on accurate workflows

• Monitoring inbound and outbound calls for authorization clearance, WQs, days out clearance and contacting staff as required to complete work timely

• TOS cash collections

• Shifting team assignments as necessary to prioritize the highest impact populations

• Assists with new-hire onboarding to ensure on-the-job readiness, specific to role

• Training/coaching for representatives or team leads, as required

• Escalation and troubleshooting to support operations

• Cross coverage of all departmental assignments as required

• Ensure daily coverage is in place for all assigned work, including backfilling absences and shifting employees to the highest priority assignments, as appropriate.

• Completes interviews and hiring, as required, to ensure team is fully staffed.

• Conducts routine account activity quality audits to verify accounts are being worked appropriately.

• Monitors and trends account denials for team and physician practice feedback.

• Oversee feedback on team’s productivity and quality, as necessary, to ensure compliance with established productivity standards. If follow-up is required with HR, the Supervisor should ensure that this is completed timely and action is taken, as advised.

• Conducts regular employee evaluations and 1-1 meetings to assess performance and promote teamwork.

• Assist with the cross-departmental communication, responding to inquiries from Referring Provider’s offices or Departments on escalated visits or questions about appropriate workflows.

• Assist with the calculation of daily or weekly metrics, as required, for Authorization team scope.

• Builds trust and motivates staff in efforts to maintain a high performing team capable of setting priorities and making sound judgments.

• Supports team and department goals.

• Supports positive patient experience, safety, and revenue cycle outcomes.

Required:

• Associate degree or equivalent in certification

• 3-5 years prior experience on a pre-authorization team will be considered in lieu of Associate degree

• All legally/reasonably expected certifications needed for function and level

Preferred:

• Applicable experience as Patient Access Representative or Authorization Specialist