Insurance Verification & Authorization Supervisor
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Job Description
Insurance Verification Supervisor ensuring efficient insurance processes for a home health provider. Leading a remote team and overseeing training, audits, compliance, and performance metrics.
Responsibilities:
- 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
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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