Supervisor of Insurance Verification/Authorizations
Apply NowLocation:
US
Company:
MultiCare is the largest community-based, locally governed health system in Washington state, providing a wide range of health services.
Summary:
The Supervisor of Insurance Verification/Authorizations leads the team managing financial resources through authorizations and verifications in healthcare. Candidates should have a Bachelor's degree and relevant supervisory experience.
Requirements:
Credentials: Bachelor's degree
Experience: Five (5) years of experience in Access Services, Pre-Service, Referral Management, Scheduling, Specialty and/or Surgery Prior Authorizations, and/or Registration required., Three (3) year supervisory and/or lead and/or training experience.
Job Description:
Position Summary
The Supervisor of Insurance Verification/Authorizations is responsible for supervision of staff accountable for identifying and securing financial resources for healthcare services system wide requiring complex authorizations, insurance verification and precertification services. The Supervisor is expected to understand referral management/processing as a foundation to the more complex, high-dollar authorization process, is accountable for ensuring the highest levels of quality for all authorizations, insurance verifications, performance levels, and efficiency standards implemented and maintained; ensures industry best practices and workflows are created and implemented system wide to minimize payment denials and increase patient experience; researches and analyzes denied services and trains and develops frontline staff to successfully perform their duties to meet department specific and MultiCare goals.
Essential Functions
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Direct supervision and management of daily operations and staff responsible for financial clearance and complex authorization activity for high dollar services within the MultiCare Health System.
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Attend and participate in meetings related to business operation improvements of referral and authorization management.
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Engage in routine conversations with payor representatives to streamline authorization and reimbursement practices.
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Collaborate with system leaders, clinical teams, and providers to create and maintain highly effective and accurate referral and authorization processes.
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Lead daily service line calls with system wide care teams to ensure financial clearance for all upcoming treatment series.
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Denial management and prevention.
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Is expected to model and cultivate staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership.
Requirements
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Bachelor’s degree required.
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Five (5) years of experience in Access Services, Pre-Service, Referral Management, Scheduling, Specialty and/or Surgery Prior Authorizations, and/or Registration required.
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Three (3) year supervisory and/or lead and/or training experience.
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Consideration may be given to internal candidates not meeting the minimum qualifications
