Verifications Supervisor

PT Solutions Physical Therapy•,

3d•Onsite

About The Position

The Verification Supervisor oversees the daily operations of the Insurance Verification Team and ensures accurate, timely completion of patient benefits and eligibility verification across PT Solutions private practice and hospital-based clinics. This role provides leadership, coaching, and workflow guidance to Verification Specialists and Leads to ensure the team meets productivity, turnaround time, accuracy, and service standards. The Verification Supervisor is responsible for maintaining optimal staffing levels, monitoring key performance indicators (KPIs), and ensuring clean claims by preventing delays or errors related to missing or incorrect benefit information. The role collaborates closely with Authorization, Scheduling, Billing, and Clinic Operations to support seamless patient access and revenue cycle performance. This position requires a strong understanding of payer benefit structures, medical policy requirements, EMR workflows, and verification processes, along with proven leadership and communication skills.

Requirements

Strong leadership and coaching skills with the ability to motivate and develop team members.
Excellent verbal and written communication skills.
Advanced understanding of insurance verification processes, payer benefit structures, and documentation requirements.
Ability to interpret complex benefit information and identify discrepancies or risks.
Strong analytical skills, including the ability to interpret data and identify process improvements.
Ability to prioritize multiple tasks and manage a high-volume workflow under tight deadlines.
Strong customer service orientation and ability to collaborate across departments.
High accuracy and attention to detail in documentation and data entry.
Ability to remain adaptable in a dynamic environment with frequent payer and process updates.
High degree of professionalism, confidentiality, and sound judgment.
High school diploma or equivalent required; Associate or Bachelor's degree preferred.
Minimum 3–5 years of insurance verification, benefits coordination, medical billing, or revenue cycle experience.
Minimum 1–2 years of lead or supervisory experience in a healthcare or revenue cycle setting.
Strong knowledge of payer benefits, eligibility systems, therapy coverage policies, and authorization triggers.
Experienced with EMR systems, RTE tools, payer portals, and internal reporting systems.
Proficiency in Microsoft Office (Excel, Outlook, Word).
Must meet all compliance, HIPAA, and background screening requirements.

Nice To Haves

Associate or Bachelor's degree preferred.

Responsibilities

Provide daily supervision, coaching, and work direction to Verification Specialists and Leads.
Monitor productivity, accuracy, turnaround times, and workflow adherence.
Conduct regular 1:1s, team huddles, and performance check-ins.
Support hiring, onboarding, training, and skill development of new team members.
Ensure consistent communication of workflow updates, payer changes, and departmental expectations.
Assign workloads and manage coverage needs to ensure timely processing of verifications.
Oversee daily verification of benefits, eligibility, deductibles, copays, prior auth requirements, and plan limitations.
Ensure timely processing of same-day, next-day, and standard verification requests.
Monitor rollover rates and intervene as needed to maintain daily completeness.
Collaborate with Authorizations, Scheduling, and Clinic Operations to resolve payer discrepancies or missing information.
Manage escalated issues related to complex benefit structures, inconsistent payer data, or clinic concerns.
Review team accuracy audits and implement corrective action plans where trends indicate a need.
Ensure all documentation meets payer expectations, audit standards, and internal compliance requirements.
Track verification-related denials and partner with Billing and Payer Relations to mitigate future risks.
Maintain continuous process evaluations to ensure accuracy and efficiency across the team.
Track and report team KPIs.
Prepare weekly and monthly operational summaries for leadership.
Analyze trends and recommend workflow improvements, staffing adjustments, or system changes.
Build strong partnerships with Authorization, Scheduling, Billing, and Clinic Operations.
Assist with payer-related updates, new clinic onboarding, market conversions, and EMR updates.
Participate in cross-functional projects to improve revenue cycle performance and patient access.
Lead or support initiatives related to EMR enhancements, payer policy updates, workload shifts, and improved automation.
Assist in creating and refining SOPs, training materials, and playbooks.
Address escalated payer or clinic concerns in a timely and professional manner.
Act as a subject matter expert (SME) on verification workflows and payer benefit structures.
Perform additional duties as required to support team and departmental success.