Authorization Supervisor in Bowling Green, Kentucky at Med Center Health

This opportunity is part of the NEW Med Center Health Contact Center. Med Center Health is launching a centralized Contact Center that will serve as a single point of contact for patient scheduling, insurance authorization, and financial clearance services. This innovative approach will simplify the patient journey, improve access to care, and enhance the overall patient experience.

Position Summary

The Authorization Supervisor is responsible for supervising authorization staff and overseeing the daily operations of the authorization team to support timely financial clearance of scheduled services. This position manages staff schedules, reviews and approves time cards, monitors work queues and productivity, and ensures appropriate staffing coverage to meet departmental needs. The Authorization Supervisor coordinates authorization workflows, resolves complex authorization issues, monitors operational performance, and supports denial prevention through effective payer requirement compliance. This role collaborates with clinical departments, provider offices, scheduling teams, payer representatives, and revenue cycle stakeholders to promote efficient authorization processes, minimize delays in patient care, and achieve established service and quality expectations.

Minimum Qualifications

• Two years of experience in healthcare authorization, patient access, financial clearance, revenue cycle operations, or a related healthcare field required.
• Supervisory or leadership experience preferred.
• Knowledge of healthcare insurance plans, authorization requirements, and reimbursement processes.
• Knowledge of healthcare revenue cycle and financial clearance operations.
• Knowledge of regulatory and payer requirements impacting authorization activities.
• Strong analytical, organizational, and problem-solving skills.
• Ability to interpret operational data and identify process improvement opportunities.
• Strong communication and interpersonal skills.
• Proficiency with Epic and other healthcare information systems preferred.

Key Responsibilities

• Oversees daily authorization operations to support timely financial clearance of scheduled services.
• Supervises authorization staff by providing direction, coaching, training, work allocation, performance feedback, and support to ensure departmental goals and service expectations are met.
• Manages staff schedules, reviews and approves time cards, monitors attendance, and ensures appropriate staffing coverage to support daily authorization operations.
• Monitors authorization work queues and operational metrics to ensure established performance expectations are achieved.
• Assists with resolution of complex authorization issues, payer escalations, and approval delays.
• Coordinates authorization activities with clinical departments, provider offices, scheduling teams, and payer representatives.
• Evaluates authorization workflows and recommends process improvements to enhance efficiency and service levels.
• Monitors authorization turnaround times, work volumes, and quality outcomes.
• Supports denial prevention efforts through effective authorization management and payer requirement compliance.
• Develops and maintains authorization procedures, workflows, and operational guidelines.
• Assists with reporting and analysis related to authorization performance, productivity, and operational outcomes.
• Ensures authorization processes are conducted in accordance with organizational policies, payer requirements, and regulatory standards.