Eligibility and Authorization Team Lead/Supervisor

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Job # 24149 Eligibility and Authorization Team Lead

Acclivity Healthcare - Your personable, proven partner!

Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent.

Compensation and Schedule for the Eligibility and Authorization Team Lead

Eligibility and Authorization Team Lead - Full-time, onsite, $23-$24 per hour, Monday - Friday, 8:00am to 5:00pm. Join a fast-growing company with great benefits!

Required Qualifications of the Eligibility and Authorization Team Lead

• 3+ years of recent medical insurance and/or insurance verification experience required

• 1+ year of recent supervisory/management experience required

• High school diploma or GED required

• Must be able to pass a criminal background check and drug screen

Job Summary for the Eligibility and Authorization Team Lead

Manage a team of eligibility and authorization specialists. Responsible for planning, organizing, and supervising the team who determines eligibility and authorizations for all patients from various insurance carriers. Identify outstanding patient financial responsibility by creating financial estimates and notifying patients. Responsible for processing the financial clearance of each patient and ensuring successful payment of services rendered by overseeing the eligibility and authorization specialist team.

Responsibilities of the Eligibility and Authorization Team Lead

• Oversee the eligibility and authorization process for all patients as a working supervisor

• Manage a team of eligibility and authorization specialists

• Collaborate with other departments to ensure timely and accurate processing of eligibility and authorization requests

• Provide training and support to staff on eligibility and authorization processes

• Monitor and analyze eligibility and authorization data to identify trends and areas for improvement

• Maintain accurate records and documentation of eligibility and authorization activities by monitoring staff KPIs, reports, and data

• Complete effective and efficient verification and authorizations of all patients' benefits

• Utilize electronic verification/eligibility technology or contact insurance companies to verify and/or obtain patient eligibility and benefits

• Verify existing patient insurance coverage and update the information in the practice management software system

• Obtain all referrals and authorizations for procedures and services, as required

• Act as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected

• Address rejected claims related to patient eligibility, authorization, or demographics

• Answer incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage

• Ensure all patient questions are answered and issues are timely resolved by utilizing the appropriate resources

• Develop and maintain effective relationships with the patients, ensuring all patient demographic and insurance information is obtained and current

• Maintain up-to-date knowledge of specific clinical services, registration, and pre-registration requirements for all departments

• Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA

• Proactively identify and lead department process improvement opportunities

• Develop and implement policies and procedures to improve department processes

About the Company

As one of the leading centers for the diagnosis and treatment of asthma, allergy, immunodeficiencies, and other respiratory issues, this company's mission is to foster a comprehensive community dedicated to providing patients with solutions to help them breathe easier. Their specially selected staff of allergists, immunologists, nurses, and technicians have years of experience in the care of respiratory and allergic diseases. This organization is currently seeking a friendly and experienced Eligibility and Authorization Team Lead to join their team!

Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability