RCM Authorization Supervisor - Remote

OneOncology, LLC; United States; Remote; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

OneOncology, LLC is seeking a Supervisor, RCM Authorization to lead the daily authorization operations for urology procedures. You will ensure payer guidelines are followed, collaborate with patients, physicians, and insurance companies, and drive KPIs and client satisfaction.

The role requires extensive RCM experience, including authorizations, with strong supervisory skills and proficiency in Microsoft Office.

Qualifikationen

• Extensive knowledge of Urology procedures and drugs.
• Extensive knowledge of insurance payer guidelines and medical policies.
• Knowledge of ICD10, CPT and HCPCS codes.
• Strong proficiency with Word, Excel, PowerPoint.
• Associates degree or equivalent experience.
• 5+ years of RCM healthcare experience including authorizations.
• 4+ years of supervisory experience.

Aufgaben

• Oversee day-to-day operations of the Authorization team for urology procedures.
• Review payer guideline revisions and communicate changes to staff.
• Escalate reimbursement issues with physicians and payers as needed.
• Lead onboarding and on-site training for new staff.
• Develop policies and procedures to improve accuracy and speed.
• Manage employee relations, hiring, coaching, and evaluations.
• Prepare reports on performance and productivity for leadership.
• Collaborate with RCM leadership and clinical staff.
• Provide backup support to Authorization Specialists.

Kenntnisse

RCM knowledge & authorizations

Insurance payer guidelines

ICD-10 CPT HCPCS knowledge

Microsoft Office proficiency

Associates degree or equivalent

Urology procedures knowledge

5+ years RCM experience

4+ years supervisory experience

Ausbildung

Associates degree or equivalent experience

Tools

Microsoft Office Suite

Jobbeschreibung

OneOncology, LLC is seeking a Supervisor, RCM Authorization to lead the daily authorization operations for urology procedures. You will ensure payer guidelines are followed, collaborate with patients, physicians, and insurance companies, and drive KPIs and client satisfaction.

The role requires extensive RCM experience, including authorizations, with strong supervisory skills and proficiency in Microsoft Office.