Supervisor, Authorization Operations (Medicare)

Supervises the day-to-day operations and coordinates all work activities of the non-clinical authorization team. Ensures a customer-focused operation that meets organizational standards, goals, and objectives. Makes recommendations on operational improvements for the department. Works under general direction.

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities.

What You Will Do

• Supervises the day-to-day operations of the non-clinical authorization team. Oversees the development, utilization, and evaluation of internal processes to ensure customer satisfaction, efficient operations, and accurate and timely resolution for all complaints and issues.
• Coaches staff to provide quality member services, and prompt and accurate completion of all required documentation. Ensures effectiveness of daily activities such as responsiveness to emails, number of calls, complaints issues, accuracy in setting up authorizations, etc.
• Develops and maintains a strong ongoing customer service focus in dealing with internal and external customers and conveying a positive image of the organization.
• Works with management team, to identify trends and variances; ensures timely and accurate resolution of discrepancies.
• Participates in Quality Assurance (“QA”) activities to maintain high levels of staff performance and aligns department performance with organizational standards.
• Performs all duties inherent in a supervisory role. Participates in identifying staffing and operational needs, participates in hiring, training, evaluating and when necessary, termination of assigned staff in accordance with VNS Health policies and procedures. Collaborates with Manager, in conducting performance appraisal of assigned staff.
• Participates in special projects and performs other duties as assigned.

Qualifications

Education:

Bachelor's Degree in Business Administration or related field or equivalent work experience required

Work Experience:

Minimum of three experience in managed care service authorization operations required and Minimum of 2 years experience as team lead or 1 year supervisor experience required

Working knowledge of Medicare /Medicaid and NYS and CMS regulations a plus preferred

Proficient in personal computer skills including Microsoft Word and Excel required

Effective oral and written communication, interpersonal, and customer service skills required

Pay Range

USD $66,300.00 - USD $72,000.00 /Yr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.