Supervisor Hospital Authorization

Nemours - Wilmington, DE

Full-time - Senior

Wilmington, DE

Hospitals

About the position

The Hospital Authorization Department Supervisor is responsible for overseeing all inpatient and outpatient hospital-based authorizations, ensuring compliance with rules and regulations while providing direct support to Authorization Specialists and the Preadmission Specialist. This role involves monitoring workflows, conducting audits, and collaborating with management to improve processes and training. The Supervisor also engages in financial discussions with families and insurance companies, ensuring adherence to the No Surprise Billing Act and maintaining high-quality service delivery.

Responsibilities

• Oversee all inpatient and outpatient hospital-based authorizations.
• Supervise Authorization Specialists I, II, Lead, and the Preadmission Specialist.
• Monitor assigned work queues to ensure compliance with authorization rules.
• Conduct monthly audits and create financial estimates.
• Share performance management results with associates and identify areas for improvement.
• Collaborate with the Manager and outside departments for process improvements.
• Participate in organizational committees and attend payor meetings.
• Provide training and guidance to Leads and associates.
• Monitor workflows to improve quality and productivity requirements.
• Contact insurance companies to dispute denials and discuss benefits with families.
• Implement continuous quality improvement initiatives.
• Manage time off requests and track attendance.

Requirements

• Current CRCR (Certified Revenue Cycle Representative) certification required.
• More than 10 years of authorization experience required.
• Experience in a Lead, Senior, or Supervisor role required.

Nice-to-haves

• Revenue Cycle related certification preferred.

Benefits

• Remote work flexibility with some in-office reporting as directed.