Authorization Supervisor

Healthrixus; Lahore; On-site; PKR 669,600 - 892,800; Full time

Job summary

A healthcare organization in Lahore seeks a Medical Billing Authorization Supervisor to lead the authorization team. Responsibilities include overseeing the processing of prior authorizations, enhancing operational efficiency, and training staff in insurance guidelines. Candidates should have 5+ years of experience in medical billing and insurance authorization, along with strong communication and organizational skills. This role provides an opportunity to impact patient care and reimbursement processes.

Qualifications

• At least 5 years of relevant experience in medical billing and insurance authorization.
• Ability to train and mentor staff on insurance guidelines and workflows.
• Knowledge of Medicare, Medicaid, and commercial insurers' policies.

Responsibilities

• Supervise the authorization team for timely processing of authorizations.
• Review trends in authorization denials and implement improvements.
• Collaborate with billing and clinical teams to ensure alignment.

Skills

Strong written and verbal communication skills

Proficiency in Microsoft Office Suite

Excellent organizational skills

Job description

The Medical Billing Authorization Supervisor will oversee the daily operations of the authorization team. This includes monitoring performance, ensuring compliance with insurance requirements, and maintaining high accuracy in pre-certification and prior authorization processes. The ideal candidate will have a strong background in medical billing, insurance authorization, and team leadership.

Key Responsibilities

• Supervise the authorization team to ensure timely processing of prior authorizations for medical services, procedures, and medications.
• Review and analyze trends in authorization denials and delays; implement process improvements accordingly.
• Collaborate with billing, clinical, and scheduling teams to ensure alignment in patient care and reimbursement processes.
• Monitor team productivity, quality assurance, and compliance with payer requirements.
• Train and mentor staff on insurance guidelines, payer portals, and internal workflows.
• Serve as a point of escalation for complex or high-priority authorization issues.
• Maintain up-to-date knowledge of payer policies, including Medicare, Medicaid, and commercial insurers.
• Generate regular performance reports and provide feedback to leadership.

Qualifications

• Strong written and verbal communication skills.
• Proficiency in Microsoft Office Suite.
• Professional attitude and appearance.
• Excellent organizational skills.
• At least 5 years of relevant experience.