Prior Authorization Supervisor
Virtual Vocations Inc
Leading a team of approximately 10-14 Authorization Specialists, the full-time Revenue Cycle Supervisor - Prior Authorizations will oversee daily operations to ensure timely insurance approvals while coaching team members and improving workflows in a hybrid work environment. Key responsibilities Supervise and develop the Prior Authorization team to ensure accurate and timely processing of authorizations Monitor departmental KPIs and authorization turnaround times while resolving complex authorization issues Collaborate with clinical teams and other departments to enhance operational efficiency and develop standard operating procedures Required qualifications High school diploma required; Bachelor's degree in Healthcare Administration, Business, or related field preferred 5+ years of healthcare revenue cycle experience, including prior authorizations and patient access 2+ years of leadership experience managing healthcare teams Strong knowledge of prior authorization workflows and payer medical policies Experience with EMR/RCM platforms such as Athena Practice, Epic, or Cerner
- ...openings below. Position: Patient Experience Supervisor Location: 4006 Washington Rd Job Id: 22... ...are completed accurately and fully prior to patient check-in. Monitors... ...processes to minimize registration errors, authorization delays, scheduling gaps, and denied claims...SuggestedTemporary workFlexible hours
$91.2k - $117.92k
...need to go onsite for meetings etc. The Regional Referral Center (RRC) Supervisor for the non-clinical coordinator team leads daily operations to ensure timely, accurate processing of prior authorization requests. This role oversees team performance, supports staff...SuggestedFull timeContract workTemporary workWork experience placementFlexible hoursShift work- ...Job Summary Supervises prior authorization utilization review nurses ensuring they appropriately apply medical necessity guidelines in making authorization determinations for pre‑service procedures and surgeries, in collaboration with physician reviewers. Oversees processes...SuggestedFor subcontractorCasual workWork at officeLocal area
- ...Position Title Manufacturing Supervisor – Huntsville, AL Job Purpose Directs the development and implementation of activities in... ...review of internal material travelers and related documents prior to authorization of shipments. Conduct performance appraisals and communicate...SuggestedPermanent employmentContract workWork at officeShift work
$174.07k - $374.92k
...one family and one community at a time. The Physician Supervisor, Utilization Management is responsible for overseeing the... ...healthcare services. Ensure timely and accurate review of prior authorizations, concurrent reviews, and retrospective reviews....SuggestedHourly payFull timeTemporary workLocal areaFlexible hours- ...Support Administrator Supervisor The Cuyahoga County Board of Developmental Disabilities... ...DD's strategic plan. Manage the authorization of expenditures to ensure fiscal responsibility... ...: use of Cost Projection Tools, the Prior Authorization Review Process,...Local areaImmediate startFlexible hoursWeekend workAfternoon shift
- Description GENERAL SUMMARY The Triage Supervisor manages the triage nursing staff and makes... ...or for team/department. Has some authority for personnel actions. May assist in interviewing... ...calls/ tasks related to complicated prior authorizations and site medical clearance...Work at officeImmediate start
$46k
Pharmacy Adjudication Supervisor Onco360 Pharmacy is seeking a qualified Pharmacy Adjudication Supervisor to lead our expanding Specialty... ...deliveries if required. Contact insurance companies for prior authorization requests, determining additional information needs;...Full timeTemporary workWork experience placementRelocation packageMonday to Friday$96.5k - $109.1k
Reporting to the Manager of Prior Authorization, the Prior Authorization Supervisor is responsible for managing the operational workflows and staff obtaining drug and laboratory procedure prior authorizations from third‑party payers. This work will primarily address on‑...Work at office$24.33 - $36.19 per hour
Job Summary and Responsibilities As our Patient Access Supervisor, you will lead the daily operations of the Registration department... ...will provide clear direction and coordinate efforts for prior authorization and scheduling processes for both staff and patients, responsible...Hourly payWork at officeShift work$65k - $75k
...Grove Village location. POSITION SUMMARY The Gene Therapy Supervisor serves as the primary contact with the manufacturer regarding... ...with prescription validation, clinical documentation, and prior authorizations, as well as coordinating patient shipments and deliveries....Casual workLocal areaAfternoon shift$65k - $75k
...Village location. POSITION SUMMARY The Gene Therapy Supervisor serves as the primary contact with the manufacturer regarding... ...with prescription validation, clinical documentation, and prior authorizations, as well as coordinating patient shipments and deliveries....Casual workLocal areaAfternoon shift$85k - $95k
...RN Supervisor Cohere's Service Operations team is responsible for ensuring that our healthcare partners are supported throughout... ...using MCG, CMS NCDs/LCDs, clinical criteria guidelines ~ Prior Authorization or Utilization Management experience ~ Excellent computer...Hourly payRemote workFlexible hours- ...Job Description Job Description Patient Support Supervisor Location: Stoughton and Phoenix Area Preferred (other locations... ...adherence through refill management OR timely and accurate prior authorization and financial assistance support to assist patients in obtaining...Contract workWork at officeLocal areaRemote work
- ...Job Description Job Description Supervisor-clinic Job Duties: # Interviews, hires, and coordinates training of new clinic... ...each pay period # Supervises billing functions such as prior authorization process and denial management, and clearing account checks...Work at office
- ...Description Job Description Machine Shop Supervisor Department: Machine Shop Reports... ..., LICENSES, REGISTRATIONS : Authorization to work in the United States. To conform... ...visual form to any foreign national without prior export authorization from the...Permanent employmentFull timeFlexible hoursShift workWeekend workAfternoon shift
$40.68 - $69.97 per hour
Overview This position will act as a Supervisor role over the night shift Respiratory Care staff, including RC techs and RRT's. They... ...from each new employee's Form I-9 to confirm work authorization. | For more information: ****@*****.***....Full timeWork experience placementLocal areaShift workNight shift$80.07k - $110.08k
...For more information, visit guardanthealth.com and follow the company on LinkedIn, X (Twitter) and Facebook. As a Supervisor, Reimbursement Prior Authorization, you play an important role in the overall success of the company. Working with our billing tool provider, you...Full timeContract workWork experience placementWork at officeWork from home- ...Distributes Massachusetts Awareness Prescription Assessment Tool (MassPATs) to medical staff. Serves nursing in the completion of prior authorization documents, when necessary. Obtains lab results at the request of medical staff. Procures both urine and oral swap toxicology...Work at officeDay shiftWeekday work
$51.03 - $75.9 per hour
Job Summary And Responsibilities As the Supervisor of Utilization Management (UM), under the guidance and supervision of the department... ...application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision, this position...Work at officeWork from home$85k - $95k
...partners throughout their lifecycle of using the platform. The RN Supervisor, Clinical Operations leads and mentors the RN Reviewer team... ...MCG, CMS NCDs/LCDs, and clinical criteria guidelines. Prior Authorization or Utilization Management experience. Excellent computer...Hourly payRemote workFlexible hours- ...duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Supervisor - GI Lab 40 hours per week, Days Mercy Hospital Jefferson Festus, MO 63028 This is a Working Supervisor role...Full timeTemporary workShift work
$110.2k - $122.3k
...compliance requirements. Payer Policy Review: Monitor and track payer policy updates which include coverage determinations, prior authorization requirements, medical necessity criteria, site-of-service rules, and benefit changes across major payers, among other topics....- ...Mountain Healthcare has immediate openings for a RN Weekend Supervisor looking to work in our Long Term Care Facility in Lowell MA... ...for completing medication interchange and insurance prior to authorization as assigned Ordering or arranging for ordering of pharmaceuticals...Temporary workLocal areaImmediate startFlexible hoursShift workWeekend work
- ...AMA. Registration by the American Registry of Radiologic Technologist EXPERIENCE Minimum of one year MRI experience required. Prior experience in ultrasound, CT, nuclear medicine, DSA, cross-sectional anatomy and computer operations is preferred. LICENSURE Registration...
- Overview When you come to Yale New Haven Health System, you'll work with leaders in medicine and be part of the cutting edge in your field. That includes an opportunity to work in our new $838M, 505,000 square foot Adams Neurosciences Center opening in 2027. The largest...Full timePart timeNight shiftWeekend workDay shiftAfternoon shift
- Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals...
- Overview When you come to Yale New Haven Health System, you'll work with leaders in medicine and be part of the cutting edge in your field. That includes opportunities to: · Join our paid Residency Program and gain clinical training and didactic education through...
- ...appropriate staff with scheduling, obtaining requisitions or pre-authorization, patient preparation instructions, and other exam-related... ...receptive to teaching newly -hired technologist as observed by supervisor or input from staff. 6. Customer Service - To enhance the...TraineeshipTrial period
$24.04 per hour
...clean work area by complying with all procedures, rules, and regulations. ~May be required to work overtime with prior authorization from supervisor. ~Must be able to meet the physical demands of the job. Qualifications ~High school diploma or General Education...Full timeTemporary work
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