Supervisor, Home Health Insurance Authorization

Humana Inc; Dover (DE); A distancia; USD 65.000 - 89.000; Jornada completa

Descripción de la vacante

Humana Inc. seeks an Authorization Supervisor to oversee daily healthcare authorizations, guide staff, and ensure policy adherence. You will manage portfolios, coordinate with branches, and drive plans to meet objectives while maintaining provider manuals and patient information logs.

The role requires 3+ years in healthcare authorization, leadership experience, and strong MS Office skills. Remote work with periodic travel to Humana offices is possible; 40-hour weeks with a pay range of

Formación

• High School Diploma or the equivalent.
• 3 years or more of healthcare related authorization experience.
• Some experience in a lead or supervisory role generally required.
• Proficiency using Microsoft Office applications including Word, Excel, Outlook and Teams.
• Effective communication skills.
• Knowledge of healthcare collection and accounts receivables procedures preferred.

Responsabilidades

• Supervise daily authorization activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of authorization standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies.
• Supervise authorization management functions and maintain assigned portfolios at acceptable levels.
• Provide guidance and assistance to management at branches assigned on authorization issues.
• Develop and implement plans to ensure authorization are within stated objectives.
• Supervise the maintenance of the provider manuals, patient information updates, and various logs.
• Ensure that authorizations are within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of authorization regulations/requirements, and communicate changes to all pertinent personnel.

Conocimientos

Leadership experience

Communication skills

Healthcare authorization experience

MS Office proficiency

AR/collections knowledge

Educación

High School Diploma or equivalent

Herramientas

Microsoft Word

Microsoft Excel

Outlook

Teams

Descripción del empleo

Become a part of our caring community

Shift/Availability Requirements:

• Monday - Friday from 9:30am - 6pm EST

As the Authorization Supervisor , you will report directly to the Authorizations Manager. You will:

• Supervise daily authorization activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of authorization standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies.
• Supervise authorization management functions and maintain assigned portfolios at acceptable levels.
• Provide guidance and assistance to management at branches assigned on authorization issues.
• Develop and implement plans to ensure authorization are within stated objectives.
• Supervise the maintenance of the provider manuals, patient information updates, and various logs.
• Ensure that authorizations are within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of authorization regulations/requirements, and communicate changes to all pertinent personnel.

Use your skills to make an impact

Required Experience:

• High School Diploma or the equivalent.
• 3 years or more of healthcare related authorization experience.
• Some experience in a lead or supervisory role generally required.
• Proficiency using Microsoft Office applications including Word, Excel, Outlook and Teams.
• Effective communication skills.
• Knowledge of healthcare collection and accounts receivables procedures preferred.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 10-30-2026

About us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources