Prior Authorization Supervisor

Prevea Health; Green Bay (WI); On-site; USD 70,000 - 90,000; Full time

Job summary

Prevea Health is seeking a Prior Authorization Supervisor to support and supervise the Prior Authorization team across services. The role ensures standardized use of Epic referral modules, maintains documentation quality, and ensures timely processing of authorizations.

You will liaison between staff, IT, and clinical departments to optimize workflows and maintain regulatory compliance while promoting Prevea's mission and values.

Qualifications

• Supervises Prior Authorization staff and Leads across service areas.
• Experience with Epic referral modules and work queues.
• Ensures adherence to authorization documentation standards and timely processing.

Responsibilities

• Assist the Prior Authorization Manager in developing and implementing authorization operations.
• Collaborate with IT, Clinical departments, and Business Office on workflow improvements and configuration.
• Provide coaching and performance guidance to staff and manage schedules and assignments.

Skills

Supervisory experience

Epic workflows

Prior Authorization

Tools

Epic referral modules

Job description

JOB REQUIREMENTS: Back Prior Authorization Supervisor #26-456 Green Bay,

Wisconsin, United States

Tulip Lane-023 Description Prior Authorization Supervisor Come work

where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give

Care. JOB SUMMARY

The Prior Authorization Supervisor Assists The FSR/Prior Authorization Manager in developing, organizing, and implementing prior authorization operations across Prevea in alignment with Prevea's mission, vision, and values. This role provides direct supervision of Prior Authorization Specialists and Leads across all service areas and phases of the consolidation, ensuring consistent use of Epic referral modules and work queues, adherence to authorization documentation standards, and timely processing of all prior authorizations. The Supervisor serves as a key liaison between prior authorization staff, the Business Office, IT, and clinical departments, and supports process improvement, workflow efficiency, and regulatory compliance.

Compliance. Essential Functions Performs Full Range Of Supervisory

responsibilities for Prior Authorization Specialists and Leads including coaching, development, performance management, scheduling, and work assignment. Provides frontline supervision across all departments with centralized prior authorization staff. Ensures all Prior Authorization Specialists follow established Epic and departmental standards for authorization processing, documentation, and work queue management. Monitors work queue performance and escalates as needed. Collaborates closely with IT on Epic workflow configuration, referral module setup, work queue management, and any build needs related to prior authorization processes. Identifies and surfaces workflow gaps or system issues that affect authorization processing. Works closely with the Business Office to support proactive denial management, communicate payer requirement changes to staff, and identify authorization-related denial trends. Provides input on workflows that affect front-end authorization and back-end denial resolution. Identifies patient care issues, decision-making challenges, and staff concerns related to prior authorization processes. Facilitates resolution and supports staff in professional growth and keeping current with payer requirements and Epic workflows. Collaborates with clinical departments to address authorization-related questions, communicate requirements, and support continuity of

Prevea is an Equal Employment Opportunity/Affirmative Action employer ****