Referral & Authorization Supervisor

Columbia Memorial Hospital•Astoria, OR

About The Position

The Referral and Authorization Supervisor oversees daily referral and prior authorization operations within the patient connection center, ensuring efficient workflows, timely processing, and compliance with payer requirements and organizational standards. The supervisor oversees, trains, coaches, and evaluates staff, and monitors productivity, quality, and performance to support patient access to care. The role collaborates with department leadership, providers, clinic leadership, payers, and support departments to resolve barriers to care, facilitate timely authorizations, and promote positive patient outcomes. It identifies workflow improvement opportunities to enhance operational efficiency and service quality. In partnership with leadership, the supervisor helps develop, implement, and maintain onboarding, initial training, and ongoing staff development programs. The position performs related duties as assigned and supports departmental goals for quality, compliance, productivity, customer service, and patient satisfaction.

Requirements

  • Demonstrated ability to coach, train, and develop staff while fostering a positive and accountable team culture.
  • Excellent communication, interpersonal, and conflict resolution skills, with the ability to collaborate effectively with providers, clinic leadership, payers, patients, and staff.
  • Ability to analyze workflows, identify opportunities for improvement, and implement effective solutions.
  • Strong organizational skills and ability to prioritize multiple tasks and meet deadlines in a fast-paced environment.
  • Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.
  • Ability to navigate and effectively use electronic medical record (EMR) systems for documentation, data entry, and retrieval of patient information.
  • Strong computer skills and ability to learn and adapt to new software applications and technology.
  • Minimum of three years of experience in healthcare referrals, prior authorizations, patient access, revenue cycle, or another healthcare setting.

Nice To Haves

  • Associate or bachelor’s degree in healthcare administration, business, or a related field preferred.
  • Minimum of one year of leadership, supervisory, or lead experience preferred.

Responsibilities

  • Oversee daily referral and prior authorization operations within the patient connection center.
  • Supervise, train, coach, and evaluate staff.
  • Monitor productivity, quality, and staff performance.
  • Collaborate with department leadership, providers, clinic leadership, payers, and support departments to resolve barriers to care and facilitate timely authorizations.
  • Identify opportunities to improve workflows, operational efficiency, and service quality.
  • Partner with leadership to develop, implement, and maintain onboarding, initial training, and ongoing staff development programs.
  • Support departmental goals related to quality, compliance, productivity, customer service, and patient satisfaction.
  • Perform related duties as assigned.
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