Pre-Service Supervisor

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The Pre-Service Supervisor is responsible for overseeing the daily operations and supervision of non-clinical Pre-Service Coordination staff. This department is responsible for reviewing physician orders, organizing, and coordinating the delivery of requested patient care services and supplies covered under the scope of the patient's health plan coverage.

Work Schedule : Full-time / 40 Hours

Position Type : Remote (On-site as needed)

Branch Location : Miramar, FL

The Pre-Service Supervisor is responsible for managing the daily workflow of the Pre-Service queue and employing analytical skills to effectively strategize daily operations. This role ensures that the department consistently meets Service Level Agreement (SLA) turnaround times through the timely processing of orders and requests. The Pre-Service Supervisor plays a critical part in maintaining high standards of service delivery and operational excellence, contributing to the overall success of the department.

Key Responsibilities :

• Oversee and optimize the daily operations of the Pre-Service Queue, utilizing data analysis to inform strategic planning.
• Ensure compliance with SLA turnaround times by processing orders and requests efficiently.
• Accurately report attendance occurrences and maintain attendance records, updating the monthly schedule in accordance with established protocols.
• Provide weekly performance summaries to the assigned team, highlighting achievements and areas for improvement.
• Conduct performance evaluations, offering constructive feedback and implementing necessary improvements.
• Report critical errors to management and maintain an up-to-date critical error tracker.
• Provide guidance and support to coordinators in resolving identified issues and barriers, setting clear expectations for daily responsibilities.
• Assist in planning and monitoring On-the-Job Training (OJT) for staff, ensuring performance standards are met.
• Timely escalate any issues related to slow document volume within the Pre-Service Queue, following established communication protocols.
• Facilitate clear communication and feedback between associates and management, ensuring directives are well understood.
• Act as a liaison between employees and upper management, effectively relaying information and fostering a collaborative environment.
• Maintain a response time of two hours to address escalated cases from Network, Fulfillment, Pediatric Cases, or other urgent matters requiring operational attention to ensure timely patient care.
• Ensure adherence to company policies, industry regulations, and safety protocols.
• Stay informed about organizational training requirements and new initiatives to enhance operational efficiency.

Use Your Skills to Make an Impact

Required Qualifications :

Preferred Qualifications :

Additional Information :

Scheduled Weekly Hours : 40

Pay Range : $59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits :

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About OneHome : OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.

About Humana : Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.