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Overview

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:

+ Clinical quality

+ Integrity

+ Service excellence

+ Teamwork

+ Accountability

+ Continuous improvement

+ Inclusion

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here (https://careers.sca.health/why-sca) to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will.

Responsibilities

The Authorization Supervisor will provide direct support for the team that verifies insurance benefits, provides patient estimates, and obtains authorizations and referrals for office visits, procedures, and elective surgeries.

Responsibilities for Authorization Supervisor

+ Coordinates, supervises and is accountable for providing daily leadership and oversight to authorization team members in multiple Practice Management systems to ensure that prior authorizations are obtained timely and accurately with little disruption to scheduling.

+ Maintains infrastructure to complete verification of benefits and estimates for every scheduled service.

+ Tracks pre-collection of services and provides feedback for ongoing process improvement.

+ Closely monitors incoming authorization requests and develops staffing to ensure requests are actioned timely.

+ Resolves operational problems and escalated issues pertaining to obtaining referrals or authorizations from Primary Care Physicians or payers.

+ Collaborates with Operations to ensure that procedure scheduling aligns with payer timelines.

+ Provides direction, support, and training for team members and development opportunities.

+ Assist in leading department initiatives that reach across multiple teams coordinating work activities with other supervisors

+ Establish departmental controls and ensure that deadlines are met setting priorities for the team to ensure task completion.

+ Work to ensure that all processes are consistent throughout the department with decisions guided by policies, procedures, and business plans.

+ Initiate various personal actions including but not limited to:

+ 90 Day Review

+ Annual Performance Reviews

+ Disciplinary notices; Performance Improvement Plans

+ Other tasks as assigned.

Qualifications

+ Undergraduate degree or equivalent experience.

+ 5+ years of relevant experience including 1-2 years supervisory experience that includes conducting coaching/training of team members.

+ Experience with insurance regulations, clinical review, and prior authorization.

+ Excellent ability to conduct quality assurance audits to evaluate performance measures and using the findings create written reports with recommendations.

USD $60,000.00/Yr. USD $65,000.00/Yr.