The Authorization Specialist Supervisor ensures complete, accurate, and timely authorizations for patients (both private clinic and hospital clinic) and assists clinic staff with completion of authorizations for all patients that need authorization. Aids in creating and implementing training programs for all new team members and continuing training. Answers questions and supports all direct report authorization specialists. Conducts required monthly audits on authorizations completed by each direct report. Required to possess exceptional organizational, communication, computer, leadership, training, and time management skills. This position requires simple computer data entry and use of Microsoft Office Products. Oversee direct reports on their daily work activities.

Essential Functions

• Obtains necessary information to initiate the authorization process.
• Contacts insurance companies to verify authorization requirements, limits, etc. as directed by policy.
• Communicate and cooperate with clinic personnel.
• Become proficient in the use of ICD-10 and CPT codes
• Understand Payor expectations for billing, reimbursement, credentialing, audit.
• Prepares daily productivity report and submits it to the business office manager.
• Assists in the preparation of policies and procedures manuals for verification of benefits.
• Expands knowledge of insurance benefits and program changes related to Medicare, Medicaid, and commercial carriers by reviewing literature, attending seminars, and taking advantage of continuing education opportunities.
• Assists in creating training documents for all new and existing team members.
• Provides training for all new and existing team members.
• Conducts monthly audits on authorizations performed by team members to ensure accuracy.
• May assist with authorization duties and questions.
• Oversees daily work activities of direct reports to ensure completion of jobs as expected, and providing follow-up/feedback/training to staff members as appropriate
• Supervises staff performance and developmental training, including ongoing performance, the development of correction action plans and monitoring improvement as needed
• Performs additional duties deemed necessary to the position and its function.

Required Skills & Abilities

• Proficiency in Microsoft Word, Excel, Window-based applications.
• Excellent communication and relationship-building skills.
• Must have demonstrated skill in prioritizing daily responsibilities and crises to handle a heavy workload.
• Must be able to work successfully in a fast-paced environment.
• Knowledge of federal and state employment laws and regulations

Required Credentials

• High School Diploma with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting.
• One to two years of medical billing and administrative experience.
• One year of leadership/management experience

Expanding Access to Quality Care

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. 

Let’s go further together and transform care. Join the #PTSLife today! 

To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn.