Job Description
The Medical Billing Authorization Supervisor will oversee the daily operations of the authorization team. This includes monitoring performance, ensuring compliance with insurance requirements, and maintaining high accuracy in pre-certification and prior authorization processes. The ideal candidate will have a strong background in medical billing, insurance authorization, and team leadership.
Key Responsibilities
- Supervise the authorization team to ensure timely processing of prior authorizations for medical services, procedures, and medications.
- Review and analyze trends in authorization denials and delays; implement process improvements accordingly.
- Collaborate with billing, clinical, and scheduling teams to ensure alignment in patient care and reimbursement processes.
- Monitor team productivity, quality assurance, and compliance with payer requirements.
- Train and mentor staff on insurance guidelines, payer portals, and int...