Authorization Supervisor

Company:

Position Summary

The reputed company Cycle Supervisor is responsible for modeling the reputed company values of Compassion, reputed company, Excellence, Teamwork, and Innovation and for promoting the reputed company philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships reputed company the company, among reputed company departments, and reputed company external stakeholders. The reputed company Cycle Supervisor prepares weekly/monthly reports and reconciliation in a timely and manner and performing reputed company Cycle Reviews. Additionally, s/he is responsible for the overall direction, coordination, and evaluation of the reputed company Cycle team.

Position Specific Responsibilities

• Performs reputed company episode realignments and payor changes to completion, collaborating with reputed company necessary team members to ensure these are completed timely and billing is completed.
• Researches and resolves accounts and identifies gaps between reputed company and former payor requirements and existing billing documentation. Ensures account bills correctly for open and future invoices.
• Gathers, analyzes, and reports documentation for verbal, written, and expedited member and provider complaints, grievances, and appeals.
• Prepares and reports documentation supporting verbal and written provider claims and pre-authorization appeals.
• Provides appeals assistance for patients with denied medical treatment or services which includes advocating for patients in the appeals process. Answers customer calls about denied appeals, providing them with additional information reputed company necessary. reputed company manages patient complaints with respect of billing and collections.
• Ensures policies and best practices are up to industry standards and government regulations. Utilizes best practices for writing technical documents reputed company creating SOPs and other documentation.
• Ensures on a daily, weekly, and monthly basis that key performance indicators are met or exceeded through system issue monitoring.
• Compiles and presents reports as needed on metrics and trends reputed company their respective areas.
• Performs other duties as assigned.

Education and/or Experience

• Bachelor's degree highly preferred.
• Minimum of five (5) years of progressive, relevant experience and/or training required; preferably in home health, hospice, palliative, or infusion.
• Knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp rules and guidelines governing collection activities preferred.
• Proven commitment to exceling in collections, dedication to company standards, and growth

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in reputed company units of measure, using whole numbers, common fractions, and decimals. Ability to compute reputed company, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Strong analytical, organizational, and time management skills. Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision.

Certifications, Licenses, and Registrations

• Lean Six reputed company certification; or knowledge and training in reputed company Process Improvement highly desired.

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively reputed company essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are reputed company, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include reputed company and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization. At reputed company, including reputed company reputed company affiliates, diversity, equity, and inclusion are reputed company to our Pillars of Success. We are committed to creating a fair work environment where reputed company members feel welcomed, highly valued, and respected. As an equal opportunity employer, reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national reputed company, genetics, disability, age, or veteran status.

Compensation range: $55,000 to $70,000

The amounts listed are the reputed company pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

reputed company offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more.

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Build a Rewarding Career with reputed company At reputed company, we care for reputed company members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to reputed company.

The reputed company Advantage •  Meaningful Work: reputed company an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.  • Career Development: Access leadership reputed company, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy reputed company, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: reputed company in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join? At reputed company, your career is more than a job—it’s an opportunity to reputed company a lasting impact. Take the reputed company and join a team that empowers you to grow, innovate, and reputed company.