Authorization Supervisor

General Summary of Duties

The Authorization Supervisor oversees the daily operations of the authorization team to ensure timely and accurate authorization processing, compliance with payer requirements, and effective support of revenue cycle objectives. This position monitors workflow, productivity, quality, and key performance metrics, identifies trends impacting reimbursement and authorization outcomes, and assists with implementing process improvements.

The Authorization Supervisor serves as a resource for staff, supports training and performance development, and works collaboratively with leadership, providers, and payers to promote efficient operations and positive financial outcomes.

Supervised by

Revenue Cycle Manager

Qualifications

• Results oriented and thrive in a fast-paced, high-energy environment.
• Minimum five (5) years of medical authorization and collections experience required.
• Prior supervisory or lead experience in a healthcare revenue cycle environment preferred.
• Strong knowledge of insurance authorization requirements, payer guidelines, denial management, and revenue cycle processes.
• Knowledge of medical terminology and ability to analyze claims and reimbursement trends.
• Proficient in EHR systems, practice management software, Microsoft Office Suite, and reporting tools.
• Excellent communication, organizational, time management, and problem-solving skills.
• Ability to develop, coach, mentor, and hold staff accountable.
• Ability to maintain confidentiality and exercise sound judgment.
• Ability to identify trends, develop corrective action plans, and implement process improvements.

Essential Functions

• Oversees daily operations of the authorization team and monitors productivity, quality, and accuracy.
• Assists leadership in implementing and monitoring departmental policies and procedures.
• Participates in performance evaluations, coaching, corrective actions, and staff development.
• Keeps informed of payer regulations, requirements, state laws, and industry changes.
• Identifies payer trends and implements corrective actions or escalates concerns.
• Ensures authorizations are obtained and documented accurately and timely.
• Monitors departmental metrics including denial rates, authorization turnaround times, accounts receivable performance, and clean claim percentages.
• Leads process improvement initiatives to increase efficiency and improve reimbursement outcomes.
• Ensures compliance with HIPAA, organizational policies, and applicable regulations.
• Conducts team huddles and staff training.
• Reviews and approves employee timecards and attendance records.
• Participates in hiring, onboarding, scheduling, and workforce planning as assigned.
• Exercises independent judgment and discretion in supervising staff and resolving operational issues.
• Performs other duties as assigned.

Physical Demands

• Frequently remains seated for extended periods while working at a computer workstation.
• Frequently uses hands and fingers for keyboarding, data entry, and operating office equipment.
• Frequently communicates verbally and in writing with staff, patients, payers, and leadership.
• Occasionally stands, walks, bends, reaches, and moves throughout the office.
• Visual acuity sufficient to review electronic records, reports, and correspondence.
• Ability to lift, carry, push, or pull up to 15 pounds occasionally.
• Ability to maintain concentration and attention to detail for extended periods.

Mental Demands

• Ability to analyze complex information and make sound decisions.
• Ability to prioritize multiple assignments and meet deadlines.
• Ability to maintain confidentiality and handle sensitive information.
• Ability to coach employees and manage performance-related matters.
• Ability to adapt to changing priorities, regulations, and payer requirements.
• Ability to maintain professionalism during stressful or high-volume situations.
• Ability to perform detailed work requiring accuracy and sustained concentration.

Environmental/working Conditions

• Work is primarily performed in a busy office environment with frequent computer and telephone use.
• Frequent interaction with staff, leadership, providers, patients, and insurance representatives.
• May experience competing priorities, interruptions, and time-sensitive deadlines.
• May be required to work additional hours, evenings, weekends, or special projects as business needs dictate.

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!