Authorization Supervisor

IMS Care Center•Avondale, AZ

13d•Onsite

About The Position

Headquartered in Phoenix, IMS Care Center is a team of employees, and a physician-led organization united through its providers' commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is searching for a professional, compassionate and knowledgeable individual to fill the position Authorization Supervisor in our Cardiology Department. The Authorization Supervisor will be responsible for a variety of administrative tasks including submitting authorization requests for procedures, answering phones, scheduling, outgoing referral management, and coordinating with the patient to make sure they make their appointments The Authorization Supervisor will also be responsible for supervising the Referrals/Authorization staff and maintaining high standards of accuracy. Instill the IMS mission, vision and values in the work performed.

Requirements

Minimum 2-3 years’ experience processing referrals and/or insurance verification required
At least 1 year of supervisor experience required
Knowledge of ICD-10, CPT codes, and insurance carriers’ claim requirements
Knowledge of insurance portals
Excellent customer service
Excellent oral and written communication skills
Communicate professionally with physicians and office staff
Strong organizational skills
Attention to detail
Computer skills using Microsoft Office software, scheduling software, and email applications
Exhibit a courteous and professional manner when talking on the phone; answer phones promptly
Ability to take initiative, work well with an established team
Ability to work in a constant state of alertness and in a safe manner
Ability to work with minimal oversight and supervision
Ability to perform multiple tasks and prioritize workload
Ability to plan, coordinate and organize front office tasks and workflow
Ability to work in fast-paced environment
Ability to maintain confidentiality of information

Nice To Haves

Athena EMR preferred
Previous experience with Athena system a plus

Responsibilities

Submits authorization requests to insurance for ancillary services performed in the clinic
Manages ancillary schedules to ensure all tests/procedures are approved to be performed before the patient arrives for testing
Coordinates and manages physician clinic/procedure schedules with the RFA/Procedure schedulers
Verifies demographics, referral, and insurance info of new patients, testing, and established patient
Prep 7-14 days before verifying insurance/outstanding liabilities/medical documentation/informing patients of copay and deductibles
Re-schedules appointments/tests/procedures if needed due to insurance
Reviews and verifies patient coverage of insurance or other agencies and computes the charges to be paid by the patient
Answer all incoming calls and resolve the issues or route calls to the appropriate staff
Other referral and verification duties as needed for the smooth workflow and patient care
Supervise the Referrals/Authorization staff to ensure referrals are processed accurately
Identify opportunities to improve performance and workflows
Implements eligibility verification as part of the referral/authorization process
Maximizes usage of on-line tools for authorizations and to support other procedures and processes
Ensures all pertinent information and tests are sent/uploaded to insurance carriers
Follow through with pending referrals/Authorizations in a timely manner
Takes accurate phone messages for referrals/authorization needs
Answers internal messages sent to the referral/Authorization department in a timely manner
Assists with new employee orientation and training as appropriate
Completes mandatory in-services education