Authorization Supervisor overseeing daily healthcare authorization activities for CenterWell, ensuring regulatory compliance and efficiency. Leading and developing staff while maintaining high standards of service delivery.
Responsibilities
Supervise daily authorization activities to ensure maximum efficiency.
Provide guidance and direction to staff, covering all aspects of authorization standards/procedures.
Ensure adherence to policies and procedures, and initiate correspondence to insurance companies.
Supervise authorization management functions and maintain assigned portfolios at acceptable levels.
Provide guidance and assistance to management at branches assigned on authorization issues.
Develop and implement plans to ensure authorization is within stated objectives.
Supervise the maintenance of the provider manuals, patient information updates, and various logs.
Ensure that authorizations are within the established time frames and that customer service guidelines/guarantees are adhered to.
Keep abreast of authorization regulations/requirements, and communicate changes to all pertinent personnel.
Requirements
High School Diploma or the equivalent.
A minimum of three years healthcare related authorization experience.
Some experience in a lead or supervisory role generally required.
Strong knowledge of collection and accounts receivables procedures preferred.
Effective communication skills.
Benefits
Health benefits effective day 1
Paid time off, holidays, and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Motor Insurance Claims Officer managing an insurance portfolio and customer inquiries. Reporting to the Motor Claims Manager and delivering technical assistance with claims processes.
Specialista Sinistri Automotive managing automotive claims in an international team in Porto. Working in a hybrid model with claims management and data communication.
Field Life Agent responsible for soliciting and selling Life & Health insurance products. Working with ACG's members to provide tailored insurance solutions while achieving sales goals.
Senior Analyst in Insurance Product Development at Verisk shaping compliance and product quality. Collaborate across lines of business and drive technical innovation in insurance programs.
Insurance Appeals Representative at Overlake Medical Centers handling denied medical claims and acting as an intermediary between providers and insurers. Critical role in ensuring payment and communication flow.
Vice President leading marketing strategies and initiatives at Desjardins Group's property and casualty insurance sector. Fostering transformation and growth through innovative marketing approaches and analytics.
Insurance Specialist managing global insurance programs at ANDRITZ in Vienna. Negotiating insurance solutions and collaborating with local and global teams.
ESG Assurance Assessor delivering assurance services to multinational clients in sustainability assurance. Supporting Project Managers in GHG/ESG verification and contributing to high - quality assessments.