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