We are an established out-of-network medical billing company located in New Hyde Park and Merrick, Long Island. We are looking for a detail-oriented Pre-Authorization Medical Billing Supervisor to lead our pre-authorization team .
The ideal candidate will be responsible for overseeing the pre-authorization process for medical services, ensuring compliance with insurance requirements, and optimizing workflow efficiency.
This role requires strong leadership skills and a thorough understanding of medical billing and insurance protocols.
Key Responsibilities :
- Team Leadership : Supervise and mentor the pre-authorization team, providing training, performance evaluations, and ongoing support to enhance team performance.
- Pre-Authorization Oversight : Manage the pre-authorization process for various medical procedures, ensuring all necessary documentation is collected and submitted in a timely manner.
- Communication : Serve as the primary point of contact for insurance companies and healthcare providers regarding pre-authorization inquiries and issues.
- Process Improvement : Analyze current pre-authorization workflows, identifying opportunities for process enhancements to improve efficiency and reduce turnaround times.
- Reporting : Prepare and analyze reports related to pre-authorization metrics, presenting findings and recommendations to management for decision-making.
- Training and Development : Develop and implement training programs for new and existing team members on pre-authorization policies, procedures, and best practices.
- Collaboration : Work closely with our clients, their office staff, and our internal billing department to ensure accurate and timely authorization for services.
Qualifications :
- High School Diploma or higher required
- 5+ years of experience in medical billing or pre-authorization, with at least 2 years in a supervisory role.
- In-depth knowledge of insurance authorization processes, medical billing codes (CPT, ICD-10), and healthcare regulations.
- Proficiency in medical billing software and electronic health record (EHR) systems.
- Strong communication and interpersonal skills, with the ability to build effective relationships with internal and external stakeholders.
- Excellent analytical and problem-solving skills, with a keen attention to detail.
- Ability to manage multiple priorities and adapt to a fast-paced environment.
- Out of network billing experience is highly preferred.
Benefits :
- Comprehensive health benefits (medical, dental, vision)
- Aflac Insurance Plans
- Profit Sharing Plan
- Paid time off and holidays
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