Precertification Operations Supervisor

Methodist Le Bonheur Healthcare; Nashville (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

Methodist Le Bonheur Healthcare is seeking a Nurse Supervisor to lead the Authorization Specialists in precertification for diagnostic and outpatient services. You will ensure medical necessity documentation meets insurer guidelines and maximize reimbursements while guiding the department to high performance and compliance.

The role requires nursing licensure with 5-7 years in authorization/denials management, clinical nursing, and precertification, plus leadership experience to coach staff and

Qualifications

• Bachelor-level nursing knowledge with licensure
• Experience in authorization/pre-certification management

Responsibilities

• Supervises day-to-day operations of the pre-certification department.
• Guides staff on policies to improve efficiency.
• Oversees precertification for diagnostic and outpatient services.
• Monitors documentation to meet insurer guidelines for medical necessity and payment.
• Develops staff through training and performance reviews.

Skills

Leadership abilities

Communication skills

Insurance knowledge

Precertification/CPT codes

Healthcare IT systems

Detail orientation

Staff supervision

Education

Technical Degree or Diploma Nursing

Tools

Microsoft Office (Word/Excel)

Job description

Methodist Le Bonheur Healthcare is seeking a Nurse Supervisor to lead the Authorization Specialists in precertification for diagnostic and outpatient services. You will ensure medical necessity documentation meets insurer guidelines and maximize reimbursements while guiding the department to high performance and compliance.

The role requires nursing licensure with 5-7 years in authorization/denials management, clinical nursing, and precertification, plus leadership experience to coach staff and