Authorization Lead

Overview

United Vein & Vascular Centers is a life-changing healthcare innovator that is rapidly expanding access to state-of-the-art, minimally invasive vein and vascular care as we grow our footprint across the country. The unparalleled outcomes we achieve are made possible by dynamic team members like YOU working alongside our exceptional team of skilled physicians and passionate staff.  Join us on our journey to transform lives as we raise the bar for patient service and outcomes! Explore exciting career opportunities with United Vein & Vascular Centers and unlock your potential!

We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering:

• Competitive compensation package
• Outstanding work life balance
• Health, vision, and dental benefits
• 401K plan match
• Life insurance (100% company paid)
• PTO and paid holidays
• We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.

Responsibilities

The Authorization Lead is the day-to-day point of contact for a unit responsible for verifying patient insurance coverage, ensuring correct insurance information is secured in the practice management system and communicated to the patient, as well as ensuring that all required authorization and referrals are in place. The Authorization Lead is responsible for staff performance, productivity and compliance with policies and regulations. This position reports to the Insurance Verification & Authorization Manager.

• Provides instruction/guidance to Authorization team for daily tasks.
• Daily audits for next day work to ensure all authorizations are on file and attached to appointment.
• Monthly updates of medical policies and insurances for authorization requirements.
• Handles coverage for clinics when reps are out.
• Review authorization denials prior to peer to peer review.
• Running weekly reports for authorization reps.
• Organizes and directs staff to maximize efficiency of operations.
• Assists with the evaluation of ongoing operations and programs on a regular basis for efficient use of resources. Assesses the need for new tasks or functions.
• Develops and maintains a good working relationship with all practice managers and departmental management.
• Ensures all inquiries related to securing patient responsibility, insurance verification, authorizations and referrals is managed promptly.
• Promotes staff professionalism and performance with training and feedback.
• Evaluates staff performance and works with manager to address performance deficiencies in accordance with HR disciplinary guidelines.
• Monitors work queues to ensure tasks are completed timely and accurately.
• Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
• Maintains current working knowledge of payer and billing policies.
• Stays abreast of payer process changes.
• Provides analysis/audit feedback and reports to management.
• Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.
• Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
• Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
• Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
• Other duties as assigned.

Qualifications

• HS Diploma or GED required.
• 2+ years’ experience with insurance verification and authorization process.
• Management experience preferred but not required.
• Experience with eClinicalWorks preferred.
• Must be highly detail oriented.
• Proficient in MS Excel.
• Experience in online payer portals for authorization submissions a plus.
• Must be a strong multi-tasker.
• Ability to build relationships with staff.