Supervisor, Authorizations

The CORE Institute; Phoenix (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

The CORE Institute seeks a seasoned Revenue Cycle Supervisor to lead patient account representatives, directing performance, coaching staff, and driving efficiency in billing and collections in a fast-paced healthcare setting.

You will monitor metrics, conduct quality audits, manage staffing, and ensure compliance with Medicare/Medicaid policies while delivering exceptional customer service and timely financial assistance where needed.

Qualifications

• Must understand Revenue Cycle Management with emphasis on Collections and Billing.
• Strong critical thinking, troubleshooting, and analytical skills.
• Excellent interpersonal skills and conflict management.
• Experience with Microsoft Office and data analysis tools.
• Well organized with the ability to meet deadlines.

Responsibilities

• Supervise, direct, and develop patient account representatives.
• Provide frequent performance feedback and encourage two-way participation.
• Audit inbound and outbound calls for quality assurance.
• Coach staff and implement action plans for improvement.
• Manage performance reviews, corrective actions, and development plans.
• Assist in interviewing, hiring, and training new staff.
• Monitor productivity and report department metrics to Senior Management.
• Handle escalated billing and payment issues and ensure compliance.
• Provide coverage for breaks and lunches as needed.
• Review accounts for accurate service and proper collections activity.
• Ensure compliance with Medicare/Medicaid regulations and company policies.
• Conduct regular staff meetings and meet deadlines set by leadership.
• Investigate discrepancies and resolve issues promptly.
• Work with confidential materials and maintain discretion.
• Process refunds, escalate to collections, and manage financial assistance applications.
• Ensure accurate and timely application of transactions, including adjustments and write-offs.

Skills

Leadership

Analytical thinking

Communication

Problem solving

Conflict management

Multitasking

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Outlook

Excel

Job description

Responsibilities

• Responsible for supervising, directing, and developing patient account representatives.
• Maintain positive leadership and give frequent performance feedback, and encourage two‑way participation and ideas.
• Perform quality auditing on live and retrospective auditing of inbound and outbound phone calls.
• Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.
• Performance management of personnel, including reviews, corrective action, mentoring, development plans, and performance improvement plans.
• Assist in interviewing, hiring, and training of new staff members.
• Monitor and manage the productivity and performance of assigned employees, including reporting daily/weekly/monthly department metrics to Senior Management.
• Responsible for handling escalated patient phone calls regarding billing and payment issues.
• Acts as a resource to the department, taking inbound phone calls to provide coverage for breaks and lunches.
• Review patient accounts for accurate customer service, supporting documents, and correct collections activity.
• Support and comply with all company policies and procedures, and comply with Medicare and Medicaid regulations.
• Conducts regularly scheduled staff meetings.
• Must be able to meet deadlines given by Senior Management.
• Research and resolve discrepancies in a timely manner.
• Works with sensitive and confidential materials and must be able to exercise discretion.
• Review and assist with processing refunds, turning accounts to collections, and financial assistance applications.
• Responsible for accurate and timely application of transactions, including adjustments and write‑offs.
• Communicate effectively with other internal departments and with outside vendors, such as the phone system, collection agency, and credit card processor.

Education

• High school diploma/GED or equivalent working knowledge.

Experience

• Requires 2 or more years’ experience acting as a team lead or in a supervisor role in a revenue cycle department in a healthcare environment.
• Previous supervisory experience and strong leadership skills with an ability to motivate with a positive attitude that impacts others in a positive way.

Requirements

• Must have a full understanding of the Revenue Cycle Management process to include Collections and Billing
• Excellent critical thinking, troubleshooting, and analytical skills
• Excellent interpersonal skills, including conflict management
• Experience working in Microsoft products – Word, Outlook, and Excel (advanced formulas, pivot tables)
• Well organized and able to meet deadlines
• Excellent attention to detail

Knowledge

• Knowledge in patient billing, healthcare administration
• Knowledge of business office methods and policies regarding productivity/workload analysis and scheduling procedures.
• Knowledge of government regulatory requirements and commercial contracts.

Skills

• Skilled in defusing difficult situations while remaining calm and exhibiting professionalism and courtesy.
• Skilled in establishing metrics and clear objectives, including performance management.
• Skill in effectively managing multiple projects simultaneously.

Abilities

• Ability to multitask and work well under pressure
• Ability to analyze problems and interpret information and to prioritize and reprioritize, as necessary. Ability to work independently and as part of a team.
• Ability to work in a fast‑paced environment

Equal Opportunity Employer

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