·       Team Leadership & Supervision:

·       Supervise and coordinate the daily activities of a team of Authorization Specialists.

·       Provide guidance, training, and performance feedback to team members.

·       Monitor individual and team performance metrics and address areas for improvement.

·       Serve as the primary point of contact for escalated issues and complex cases.

·       Operational Management:

·       Ensure timely submission and follow-up of prior authorizations and referrals.

·       Maintain up-to-date knowledge of payer policies, clinical guidelines, and authorization protocols.

·       Collaborate with clinical teams, scheduling staff, and billing departments to support seamless patient access and revenue cycle operations.

·       Process Improvement:

·       Identify bottlenecks and implement process enhancements to improve efficiency and accuracy.

·       Develop and update standard operating procedures (SOPs) and ensure staff adherence.

·       Participate in audits and support compliance with HIPAA and other regulatory standards.

·       Reporting & Communication:

·       Generate regular reports on authorization status, denial trends, turnaround times, and team productivity.

·       Communicate effectively with internal stakeholders and payers to resolve delays or denials.

·       Facilitate regular team meetings and contribute to departmental planning.