Prior Authorization Supervisor

Medical Service Company; Toledo (OH); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive Pay & Mileage Reimb.

HSA Account w/Company Contribution

Pet Insurance

Life and AD&D insurance

Short-Term and Long-Term Disability

Tuition Reimbursement Program

Employee Assistance Program (EAP)

Employee Referral Bonus Program

Social Recognition Program

Employee Engagement Opportunities

CALM App

401k (with a matching program) / Roth

Company Discounts

Payactiv/On-Demand Pay

Paid vacation, Sick Days, YOU Days and

Holidays

Job summary

Medical Service Company (MSC) in Toledo, OH is seeking a full-time hybrid Revenue Cycle Team Lead. You will coordinate and manage the Revenue Qualification Dept, ensuring timely, accurate revenue and billing processes.

Responsibilities include supervising the PAR team, aligning resources, and reviewing Brightree WIP, SNAP, and RC worklists. Travel is required weekly; MS offers strong benefits and career growth.

Qualifications

• Minimum 5 years of Revenue Cycle experience in the HME field.
• 2-3 years of leading a team or training experience.
• Customer oriented with strong communication skills.
• Interpersonal and organizational skills; TEAM player.
• Ability to develop, organize and coordinate paperwork flow.
• Willingness to travel as part of the weekly schedule and as needed.

Responsibilities

• Coordinate, lead and manage the daily activities of the Revenue Qualification Dept.
• Monitor daily activities among PAR reps to ensure revenue is created and billed timely and accurately.
• Coordinate resources to staff each Team for efficient daily productivity.
• Review Brightree WIP state and RC worklists; ensure timely follow-up and insurance verification.
• Review SNAP worklists; verify documents and insurances.
• Review Brightree RC worklist and Stop order reports; ensure billing release for pap compliance.
• Supervise the PAR team to ensure top-quality customer service for internal and external customers.
• Serve as daily lead and role model; mentor staff to achieve team objectives.
• Monitor staff performance with productivity dashboards; work with CMN and PAR on observations.
• Assist with end-of-year performance appraisals and monthly one-on-one meetings.

Skills

Revenue Cycle

Team Leadership

Customer Service

Communication Skills

Organizational Skills

Travel Willingness

Brightree

SNAP System

Education

High school diploma

Tools

Brightree

SNAP

Job description

Location: Toledo, OH

Job Id: 2389

# of Openings: 1

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).

MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work!

MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.

In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success!

Join Our Team!

We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!

to become a part of our dynamic team!

• Competitive Pay & Mileage Reimbursement
• HSA Account w/Company Contribution
• Pet Insurance
• Company provided Life and AD&D insurance
• Short-Term and Long-Term Disability
• Tuition Reimbursement Program
• Employee Assistance Program (EAP)
• Employee Referral Bonus Program
• Social Recognition Program
• Employee Engagement Opportunities
• CALM App
• 401k (with a matching program) / Roth IRA
• Company Discounts
• Payactiv/On-Demand Pay
• Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays

General:

Coordinate, lead and manage the daily activities of the Revenue Qualification Dept

Responsibilities and Duties:

• Monitor daily activities among the PAR representatives to ensure revenue is created and billed timely and accurately. This is to be accomplished through task assignment, delegation to team members, and management of project completion.
• Coordinate available resources to appropriately staff each Team for efficient daily productivity
• Daily review of the Brightree WIP state and RC worklists, monitor and assist with timely follow up and accurate logging and insurance verification
• Daily review of the SNAP worklists, monitor and assist with timely follow up and accurate verification of documents and insurances.
• Daily review of the Brightree RC worklist and Stop order reports, monitor, and assist with timely follow up and accurate billing release for pap compliance.
• Monitor daily processes that all standard operating procedures and guidelines are being adhered to.
• Supervise the PAR team effectively to assure both internal and external customers receive the ultimate customer service experience when interacting with the department.
• Serve as the daily lead and role model for the entire PAR team. Mentor all staff members to enable achievement of functional team objectives (FTOs).
• Monitor staff performance within the PAR Team through daily review of productivity dashboards and work directly with the Manager, CMN and PAR on observations and concerns.
• To assist and provide feedback on end of year performance appraisals
• To assist with monthly one-on-one meetings for PAR staff members to provide performance feedback, motivate toward goal achievement, and request input on departmental improvement.
• To assist with training and re-training for all new and current staff members.
• Assist Manager, CMN and PAR in setting departmental goals, reviewing team member performance, and allocating resources to accomplish objectives.
• As part of the qualification team, participate in rotating responsibilities including after hours.

Qualifications:

Education:

High school diploma required.

Experience/Knowledge/Skills/Physical Requirements:

• Minimum 5 years of Revenue Cycle experience in the HME field.
• 2-3 years of leading a team or training experience
• Customer oriented with strong communication skills.
• Interpersonal and organizational skills required; TEAM player.
• Ability to develop, organize and coordinate paperwork flow.
• Required to travel as part of the weekly schedule and as needed.
• Office/clerical motor skills with extensive computer and telephone experience.