Supervisor, Authorization Operations (DME)

Visiting Nurse Service of New York d/b/a VNS Health • New York, NY

1d

About The Position

Supervises the day-to-day operations and coordinates all work activities of the non-clinical authorization team. Ensures a customer-focused operation that meets organizational standards, goals, and objectives. Makes recommendations on operational improvements for the department. Works under general direction.

Requirements

• Bachelor's Degree in Business Administration or related field or equivalent work experience required
• Minimum of three experience in a health plan or customer service environment required
• Proficient in personal computer skills including Microsoft Word and Excel required
• Effective oral and written communication, interpersonal, and customer service skills required

Nice To Haves

• Working knowledge of Medicare /Medicaid and NYS and CMS regulations a plus preferred

Responsibilities

• Supervises the day-to-day operations of the non-clinical authorization team. Oversees the development, utilization, and evaluation of internal processes to ensure customer satisfaction, efficient operations, and accurate and timely resolution for all complaints and issues.
• Coaches staff to provide quality member services, and prompt and accurate completion of all required documentation. Ensures effectiveness of daily activities such as responsiveness to emails, number of calls, complaints issues, accuracy in setting up authorizations, etc.
• Develops and maintains a strong ongoing customer service focus in dealing with internal and external customers and conveying a positive image of the organization.
• Works with management team, to identify trends and variances; ensures timely and accurate resolution of discrepancies.
• Participates in Quality Assurance (“QA”) activities to maintain high levels of staff performance and aligns department performance with organizational standards.
• Performs all duties inherent in a supervisory role. Participates in identifying staffing and operational needs, participates in hiring, training, evaluating and when necessary, termination of assigned staff in accordance with VNS Health policies and procedures. Collaborates with Manager, in conducting performance appraisal of assigned staff.
• Participates in special projects and performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees