Healthcare Authorization Lead — Revenue Cycle

Surgery Partners, Inc.; United States; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health Insurance

Health Savings Account with employer"s

Life Insurance

Paid Time Off

401(k) retirement plan with a company"

Job summary

Surgery Partners, Inc. is seeking an Authorization Supervisor to oversee the daily operations of the authorization team, ensuring timely and accurate processing in line with payer requirements.

The role reports to the Revenue Cycle Manager and focuses on optimizing reimbursement outcomes. Candidates should have at least five years in medical authorization and collections, proven supervisory experience, and proficient use of EHR systems and practice management software.

Qualifications

• Minimum five (5) years of medical authorization and collections experience required.
• Supervisory or lead experience in a healthcare revenue cycle environment preferred.
• Strong knowledge of insurance authorization requirements, payer guidelines, denial management, and revenue cycle processes.
• Knowledge of medical terminology and ability to analyze claims and reimbursement trends.
• Proficient in EHR systems, practice management software, Microsoft Office Suite, and reporting tools.

Responsibilities

• Oversee daily operations of the authorization team and monitor productivity, quality, and accuracy.
• Assist leadership in implementing and monitoring departmental policies and procedures.
• Participates in performance evaluations, coaching, corrective actions, and staff development.
• Keeps informed of payer regulations, requirements, state laws, and industry changes.
• Identifies payer trends and implements corrective actions or escalates concerns.
• Ensures authorizations are obtained and documented accurately and timely.
• Monitors departmental metrics including denial rates, authorization turnaround times, accounts receivable performance, and clean claim percentages.
• Leads process improvement initiatives to increase efficiency and improve reimbursement outcomes.
• Ensures compliance with HIPAA, organizational policies, and applicable regulations.
• Conducts team huddles and staff training.
• Reviews and approves employee timecards and attendance records.
• Participates in hiring, onboarding, scheduling, and workforce planning as assigned.
• Exercises independent judgment and discretion in supervising staff and resolving operational issues.
• Performs other duties as assigned.

Skills

Medical authorization

Supervisory experience

Payer guidelines

Denial management

EHR systems

Microsoft Office

Tools

EHR systems

Practice management software

Microsoft Office

Reporting tools

Job description

Surgery Partners, Inc. is seeking an Authorization Supervisor to oversee the daily operations of the authorization team, ensuring timely and accurate processing in line with payer requirements.

The role reports to the Revenue Cycle Manager and focuses on optimizing reimbursement outcomes. Candidates should have at least five years in medical authorization and collections, proven supervisory experience, and proficient use of EHR systems and practice management software.