Supervisor, Prior Authorizations

Supervisor, Prior Authorizations

Job Summary

Supervise the team of employees who contact health insurance providers to verify eligibility and benefits from within an organization that provides healthcare patient services. Develop policies, guidelines, and training for the insurance verification process to promote high levels of customer service to both patients and insurance providers. Monitor the documentation of insurance information for accuracy and completeness. Ensure compliance with applicable privacy regulations. First-level leadership. Coordinates and leads daily team activities. May spend a portion of time performing the work of those they supervise. Assists with management decisions and activities. Working knowledge of team function within the organization.  

Receives predetermined work assignments that are process driven and subject to a moderate level of control and review. Guides subordinates on a course of action based on knowledge of established policies and procedures. Provides input and contributes to managing costs related to a unit or sub-unit.

Employment is contingent on the successful completion of a background check and the adherence to departmental policies, including UMB's Telecommuting Agreement which requires a distraction-free and HIPAA compliant workplace, cameras on for all virtual calls/meetings, and the ability to work during office hours or assigned shift (M-F, approximately 8am to 5pm Mountain Time) regardless of what time zone you live in. Additionally, new hires are required to provide their own monitors (two) and reliable internet service.   

Compensation & Benefits:
The starting salary for this position is $29-$34/hr, depending on experience. Members of UMB are eligible for a bonus based on department performance. All team members are eligible for the University's comprehensive benefit package that includes 90% employer- paid medical insurance, a generous 14.2% retirement contribution, reduced tuition, PTO and holiday pay, and more!   

Responsibilities
Responsibilities:

• Supervises Work
  • Train new hires to complete Pre-authorizations and Authorization Denials medical billing functions.
  • Create and manage team schedule
  • Prioritize activities, evaluate outcomes and recommend appropriate changes to the manager.
  • Respond to inquiries and support resolution
  
  
  
• Supervises Team
  • Monitor employee productivity
  • Oversee employee performance, conduct annual assessments, support individual learning and development objectives
  • Oversee timecards, time-off requests, and other related items
• Prior Authorization Leadership
  • Implement new procedures and coordinating office efforts to expedite payment of accounts.
  • Write, generate and evaluate a variety of reports for financial and managerial audits.
    • Initiate audits based on process evaluations.
  • Develop and coordinate the billing processes between staff members, departments and outside agencies.
  • Monitors the charge-adjustment-receipt structure and initiates changes or improvements.
• Complete ad hoc related duties as assigned; meet performance standards and key performance expectations of position.

Minimum Qualifications
Four years medical billing experience plus one year of billing supervisory experience or equivalency (2 years related work experience may be substituted for 1 year of education) required. CPT and ICD9 coding, medical terminology and demonstrated human relations and effective communication skills also required. Bachelor's degree in a Business, Health or Finance area plus billing supervisory experience preferred.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferences
Preferred Qualifications:

• 3 years of applicable work knowledge and experience as it relates to prior authorization submissions and prior authorization denials.
• 2-years' experience providing indirect leadership, project management or mentor-type support to others.
• Advanced EPIC software experience with auth/cert, referrals, registrations and admissions.

Competencies:

• Supervises Work. Creates a cohesive team environment and structure. Provides direction, delegates and removes obstacles to get work done.
• Customer Focus. Builds strong customer relationships and delivers customer-centric solutions.
• Manages Ambiguity. Operates effectively, even when things are not certain, or the way forward is not clear.
• Develops Talent. Develops people to meet both their career goals and the department's goals.
• Integrity/Instills Trust. Gains confidence and trust of others through honesty, integrity, and authenticity.
• Conflict Management. Handles conflict situations effectively, with a minimum of noise.

Disclaimer: This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It's not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Special Instructions
While UMB is a remote department and this role will be performed remotely, interested applicants should note the following:

• This role is expected to work during UMB office hours which are Monday through Friday, 8am to 5pm Mountain Time.
• The University of Utah is committed to providing jobs to individuals located in Utah, and sees remote roles like this as an opportunity to provide amazing employment opportunities to those living in remote areas of the state. As such, Utah-based applicants may be prioritized in the screening process.
• At this time, the University of Utah is unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.

Requisition Number: PRN41149B
Full Time or Part Time? Full Time
Work Schedule Summary: UMB Office Hours; M-F 8:00am to 5:00pm Mountain Time
Department: 00209 - Univ Medical Billing - Oper
Location: Other
Pay Rate Range: $29 to $34/hr
Close Date: 4/4/2025
Open Until Filled:

To apply, visit https://utah.peopleadmin.com/postings/178500


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