Supervisor, Home Health Insurance Authorization

CenterWell

2d•$65,000 - $88,600•Remote

About The Position

The Authorization Supervisor oversees daily authorization activities and management functions to maximize efficiency and maintain assigned portfolios at acceptable levels. The role provides guidance to staff and branch management on authorization standards, procedures, and issues; ensures adherence to policies, procedures, time frames, customer-service guidelines, and guarantees; and initiates correspondence with insurance companies. The supervisor develops and implements plans to meet authorization objectives, oversees provider manuals, patient information updates, and logs, and keeps personnel informed of changes to authorization regulations and requirements. This is a remote position with a Monday–Friday schedule of 9:30 a.m.–6:00 p.m. Eastern Time and 40 scheduled hours per week. Occasional travel to Humana offices for training or meetings may be required. Employees must have a dedicated work space that protects member PHI/HIPAA information and self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed.

Requirements

High school diploma or equivalent.
At least 3 years of healthcare-related authorization experience.
Some experience in a lead or supervisory role.
Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and Teams.
Effective communication skills.
For work from home, self-provided internet service must provide at least 25 Mbps download and 10 Mbps upload speed.
Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

Nice To Haves

Knowledge of healthcare collection and accounts receivable procedures.

Responsibilities

Supervise daily authorization activities to ensure maximum efficiency.
Guide and direct staff on authorization standards and 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 assigned branches on authorization issues.
Develop and implement plans to ensure authorizations meet stated objectives.
Supervise maintenance of provider manuals, patient information updates, and various logs.
Ensure authorizations are completed within established time frames and customer service guidelines and guarantees are followed.
Stay current on authorization regulations and requirements and communicate changes to pertinent personnel.