Authorization Team Lead

United Vein & Vascular Centers•Tampa, FL

17h

About The Position

The Authorization Lead is the day-to-day point of contact for a unit responsible for verifying patient insurance coverage, ensuring correct insurance information is secured in the practice management system and communicated to the patient, as well as ensuring that all required authorization and referrals are in place. The Authorization Lead is responsible for staff performance, productivity and compliance with policies and regulations. This position reports to the Director or Insurance Verification and Authorization Manager.

Requirements

HS Diploma or GED required.
2+ years’ experience with insurance verification and authorization process.
Must be highly detail oriented.
Proficient in MS Excel.
Must be a strong multi-tasker.
Able to build relationships with staff.
Dependable; able to meet reliable attendance and punctuality standards for the role.

Nice To Haves

Management experience preferred but not required.
Experience with eClinicalWorks preferred.
Experienced in online payer portals for authorization submissions a plus.

Responsibilities

Provides instruction/guidance to Authorization team for daily tasks.
Daily audits for next day work to ensure all authorizations are on file and attached to appointment.
Monthly updates of medical policies and insurances for authorization requirements.
Handles coverage for clinics when reps are out.
Reviews authorization denials prior to peer-to-peer review.
Runs weekly reports for authorization reps.
Organizes and directs staff to maximize efficiency of operations.
Assists with the evaluation of ongoing operations and programs on a regular basis for efficient use of resources. Assesses the need for new tasks or functions.
Develops and maintains a good working relationship with all practice managers and departmental management.
Ensures all inquiries related to securing patient responsibility, insurance verification, authorizations and referrals are managed promptly.
Promotes staff professionalism and performance with training and feedback.
Evaluates staff performance and takes corrective action in accordance with HR guidelines.
Monitors work queues to ensure tasks are completed timely and accurately.
Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
Maintains current working knowledge of payer and billing policies.
Stays abreast of payer process changes.
Provides analysis/audit feedback and reports to management.
Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.
Demonstrates and promotes a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity, equity and inclusion.
Demonstrates behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
Maintains the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization
Other duties as assigned.