Insurance Verification & Authorization Supervisor

InsuranceInsuranceFull TimeRemoteTeam 1,001-5,000Company SiteLinkedIn

Location

Texas

Posted

3 days ago

Salary

Not specified

3 yrs expEnglish

Job Description

• Implements and follows established company Standard Operating Procedures (SOP) regarding insurance verification and authorization department • Responsible for employee training and mentoring, reviewing work for accuracy and efficiency, monitoring team performance • As subject matter expert for team, answers questions and provides daily support and guidance as needed • Hosts and documents monthly 1:1’s with direct reports to discuss performance, communicate issues, foster productive relationships, and maintain open communication with each team member • Develops and communicates goals and objectives, documents and hosts annual performance reviews for each team member • Provides opportunities for professional growth and development • Perform regular audits of records for accuracy, completeness, and security • Collaborate with clinical and administrative staff to support department success • Identifies potential Bad Debt and reports to the Revenue Cycle Manager, Revenue Cycle Director, and Vice President, Revenue Cycle in a timely fashion • Generate reports and statistics related to insurance verification and authorization activities, compliance, and productivity • Works with internal and external personnel to approve and clear billing per company policy and regulatory guidelines • Monitors workflows throughout the day to ensure timely processing • Maintains effective, professional communication with internal and external staff including communication of frequent chart errors to the department and operational leaders • Serves as a subject matter expert and can perform tasks the department is responsible for • Maintains compliance with internal policies, procedures, and regulations, including federal and state laws • Performs all other duties as assigned

Job Requirements

  • Three years in insurance verification or prior authorization in home health
  • One year supervisory or leadership experience preferred
  • Experience working with remote teams is preferred
  • Reliable transportation and valid and current auto liability insurance
  • Computer skills required; knowledge of MS Office, Excel, Outlook, Teams, and similar software preferred
  • Strong understanding of healthcare documentation and medical terminology, especially related to home health
  • Knowledge of HIPAA, CMS, and state/federal regulations related to insurance and prior authorization
  • Proficiency in EHR system (HCHB) preferred
  • Knowledge of payor portals and clearinghouses such as Palmetto, Waystar, and Availity strongly preferred
  • Excellent interpersonal and organizational skills
  • Strong leadership and communication skills
  • High attention to detail and data accuracy
  • Ability to manage multiple tasks and meet deadlines

Benefits

  • Medical, Dental & Vision
  • Pharmacy Benefits
  • Virtual & Mental Health Support
  • Flexible Spending Accounts (FSAs) & Health Savings Account (HSA)
  • Supplemental Health & Life Insurance
  • 401(k) with Company Match
  • Employee Referral Program
  • Prepaid Legal Plans
  • Identity Theft Protection
  • Paid Time Off
  • Pet Insurance
  • Tuition & Continuing Education Reimbursement

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