Prior Authorization Supervisor

CharterCARE of Rhode Island; Providence (RI); On-site; USD 65,000 - 90,000; Full time

Job summary

CharterCARE of Rhode Island in Providence, RI is seeking a dedicated Prior Authorization Supervisor to lead the preauthorization team for intravenous and oral chemotherapy, diagnostic imaging, and other cancer-related services.

You will coordinate with the hospital business office, finance, and physician practices, set priorities, and drive process improvements to ensure timely reimbursements. Strong leadership and communication are essential.

Qualifications

• High school diploma or GED.
• Licensure not required.
• 3–5 years of experience in medical pre-authorization.
• Strong interpersonal and negotiation skills; attention to detail; ability to prioritize and lead others.

Responsibilities

• Supervise the prior authorization team for intravenous chemotherapy, oral chemotherapy, diagnostic imaging and other preauthorization needs.
• Plan, prioritize work, organize resources and respond to payor requirements in a dynamic environment.
• Serve as liaison with the hospital business office, finance and billing, and CCMA physician practices.
• Lead the weekly call with the central business office and be the primary researcher for issues identified.

Skills

Interpersonal skills

Negotiation

Attention to detail

Leadership

Education

High school diploma or GED

Job description

Prior Authorization Supervisor

CharterCARE of Rhode Island Providence, Rhode Island, United States

About this position

Summary: Under the general supervision of the cancer center’s practice manager, the prior authorization supervisor is responsible for supervising the prior authorization team for intravenous chemotherapy, oral chemotherapy, diagnostic imaging, and other ancillary testing that requires preauthorization. The position requires the ability to independently plan, prioritize work, organize resources and respond to the ever-changing environment of third-party payors. This position is critical to cancer center revenues, with a significant impact on reimbursement for services performed. This position will also serve as the liaison with the hospital’s business office, finance and billing office, and CCMA physician practices. This position will lead the weekly call with the central business office and be the primary researcher and problem solver for issues identified.

Education: High school diploma or GED

Licensure: Not required

Experience: 3-5 years of experience in medical pre-authorization required, with an emphasis on cancer services.

Skills and Abilities: strong interpersonal skills, negotiation skills, attention to detail, and ability to prioritize and get work done through others. Strong computer skills, and knowledge of medical terminology with an emphasis on cancer services.