Supervisor, Home Health Insurance Authorization

CenterWell

3d • $65,000 - $88,600 • Remote

About The Position

The Authorization Supervisor oversees daily home health authorization activities, ensuring efficiency, adherence to authorization standards and procedures, and compliance with policies. The role provides direction to staff, maintains authorization portfolios at acceptable levels, supports assigned branch management with authorization issues, and develops plans to meet authorization objectives. The supervisor also oversees provider manuals, patient information updates, and logs, and ensures authorizations meet established time frames and customer service guidelines. The role requires staying current on authorization regulations and communicating changes to relevant personnel. The position reports to the Authorizations Manager and is remote, with occasional travel to Humana offices for training or meetings. The schedule is Monday through Friday, 9:30 a.m. to 6 p.m. EST, for 40 hours per week.

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 home or hybrid work, self-provided internet service must provide at least 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL is suggested.
• 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 assigned branch management on authorization issues.
• Develop and implement plans to ensure authorizations are within 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.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability insurance.
• Life insurance.
• Other opportunities supporting personal wellness and healthcare decisions.
• Bonus incentive plan based on company and/or individual performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED