Supervisor, Prior Authorizations

Added
4 minutes ago
Type
Full time
Salary
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Related skills

kpi monitoring prior authorization appeals revenue cycle insurance verification
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📋 Description

  • Oversee daily operations of Prior Authorization Denials & Appeals, PA360, and PA Mismatch teams
  • Provide leadership, coaching, and performance management for domestic and offshore team members
  • Monitor team performance against KPIs including productivity, turnaround times, quality, and backlog
  • Review and resolve prior authorization denials, coordinate appeals, and identify trends
  • Ensure timely resolution of authorization discrepancies and mismatches
  • Monitor work queues, case volumes, and aging inventory

🎯 Requirements

  • Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or equivalent
  • 3+ years healthcare revenue cycle experience in prior authorization, insurance verification
  • 1+ year supervisory or leadership experience
  • Strong understanding of prior authorization workflows and payer requirements
  • Knowledge of commercial and government payer policies
  • Experience monitoring KPIs and managing work queues

🎁 Benefits

  • Comprehensive medical, dental, vision, life and disability plans
  • Free testing for employees and immediate family
  • Fertility care benefits
  • Pregnancy and baby bonding leave
  • 401k benefits
  • Commuter benefits
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