Authorization Specialist Team Lead

SpringHealth Behavioral Health and Integrated Care•Louisville, KY

8d•Remote

About The Position

The Authorization Specialist Team Lead is responsible for overseeing the daily operations of the authorization team, ensuring timely and accurate processing of medical service authorizations. This role combines leadership responsibilities with hands-on work, supporting the team in navigating payer requirements, improving workflow efficiency, and upholding compliance with healthcare regulations and organizational policies.

Requirements

High school diploma or equivalent required.
3–5 years of experience in medical authorizations, billing, or healthcare administration.
In-depth understanding of payer authorization processes and healthcare terminology.
Strong leadership, problem-solving, and organizational skills.
Excellent verbal and written communication abilities.
Proficiency in EMR/EHR systems and medical billing software.
Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

Associate or Bachelor's degree in healthcare administration, business, or a related field preferred.
1–2 years of experience in a supervisory or lead role is highly preferred.

Responsibilities

Supervise and coordinate the daily activities of a team of Authorization Specialists.
Provide guidance, training, and performance feedback to team members.
Monitor individual and team performance metrics and address areas for improvement.
Serve as the primary point of contact for escalated issues and complex cases.
Ensure timely submission and follow-up of prior authorizations and referrals.
Maintain up-to-date knowledge of payer policies, clinical guidelines, and authorization protocols.
Collaborate with clinical teams, scheduling staff, and billing departments to support seamless patient access and revenue cycle operations.
Identify bottlenecks and implement process enhancements to improve efficiency and accuracy.
Develop and update standard operating procedures (SOPs) and ensure staff adherence.
Participate in audits and support compliance with HIPAA and other regulatory standards.
Generate regular reports on authorization status, denial trends, turnaround times, and team productivity.
Communicate effectively with internal stakeholders and payers to resolve delays or denials.
Facilitate regular team meetings and contribute to departmental planning.