Supervisor, Centralized PreCertification Department - Remote

Overview

The Supervisor for the Centralized PreCertification Department is responsible for overseeing and organizing the work of the Authorization Specialists, ensuring timely and accurate pre-authorizations and compliance with medical necessity requirements.

In Short

• Supervises daily operations of the Authorization Specialists.
• Acts as a liaison between various stakeholders including physicians and patients.
• Monitors performance and assists staff with goal setting.
• Ensures compliance with state and federal regulations.
• Educates stakeholders on processes and changes in policies.
• Utilizes electronic tools for claim management.
• Develops solutions for operational challenges.
• Participates in budget preparation and monitoring.
• Encourages innovation and best practices within the team.
• Maintains excellent interpersonal relationships with all team members.

Requirements

• Associate's Degree in Nursing, Healthcare Administration, or Business Administration.
• 3-5 years of experience in patient access or revenue cycle.
• Strong leadership and supervisory skills.
• Knowledge of medical terminology and coding guidelines.
• Ability to plan and prioritize tasks effectively.
• Excellent verbal and written communication skills.
• Experience with healthcare information systems.
• Proficient in Microsoft Office applications.
• Strong attention to detail and critical thinking abilities.
• Ability to make informed decisions based on clinical knowledge.

Benefits

• Competitive salary and benefits package.
• Opportunities for career growth and development.
• Supportive work environment focused on community impact.
• Engagement in a mission-driven organization.
• Access to training and educational resources.
• Recognition for contributions and achievements.
• Work-life balance initiatives.
• Collaborative team culture.
• Health and wellness programs.
• Commitment to diversity and inclusion.