COMPANY WEBSITE: https://freedomhealthcare.biz/
COMPANY PHONE NUMBER: (667) 770-6320
HUMAN RESOURCES PHONE NUMBER: (410) 372 4513
POSITION TITLE: Prior Authorization Unit Supervisor
ALTERNATE TITLE(S): Prior Authorization Supervisor, Authorization Supervisor, Pre-Authorization Supervisor
COMPANY: Freedom Health Systems, Inc.
DIVISION: Operations Division
DEPARTMENT: Accounts Receivables Department
UNIT: Prior Authorization Unit
CLASSIFICATION: W8BEN Independent Contractor. 40 hours per week. Exempt.
COMPENSATION RANGE: $5.00 per hour
WORK SCHEDULE: Monday to Friday, 8:00 AM - 5:00 PM
ACCOUNTABLE TO: Senior Accountant 1
ACCOUNTABLE FOR: Supervising and overseeing the operations of the Prior Authorization Unit, ensuring timely and accurate processing of prior authorization requests
ANTICIPATED TRAVEL: 0% of the time.
SUMMARY OF POSITION RESPONSIBILITIES: The Prior Authorization Unit Supervisor manages the daily operations of the prior authorization team, ensuring efficient and accurate processing of authorization requests for healthcare services. This role involves supervising staff, ensuring compliance with regulatory requirements, and implementing process improvements to enhance the efficiency and effectiveness of the prior authorization function.
SCHEDULED DUTIES AND RESPONSIBILITIES:
1. Ensure the three team members of the prior authorization unit obtain authorizations for new clients upon or prior to start of service during intake
2. Ensure the three team members of the prior authorization unit be proactive and maintain authorizations for all active clients at all times
3. Ensure the three team members of the prior authorization unit collaborate with the Authorization Verification Specialists on ensuring authorizations are active for all pre-scheduled future appointments on the calendar
4. Ensure the three team members of the prior authorization unit fulfill and process authorization request tickets created by the service providers
5. Ensure the three team members of the prior authorization unit for discharged clients, discharge authorizations effective the date of discharge and ensure there is a discharge note completed by the client’s counselor for each separate program authorized
6. Ensure the three team members of the prior authorization unit obtain authorizations to cover any backdated claims as requested by the Billing Unit or Operations Division
on a weekly basis, demonstrate to the COO, CEO, CFO, billing unit, Accounts Receivable Department Manager, OMHC/SUD/FGC Director and PRP/BHH Director that authorizations are on file for
7. Report to the Accounts Receivables Department Manager.
8. (Additional task) Updates NAACPKWVA spreadsheet roster so the team can communicate efficiently with the members.
UNSCHEDULED DUTIES AND RESPONSIBILITIES:
1. Participate in external and internal audits/surveys (CARF/CSA/OHCQ) as directed by the supervisor.
2. Participates in quality assurance and performance improvement plans by completing periodic audits or other activities to ensure regulatory compliance and/or improve service delivery.
3. Assist the supervisor, HR, or management with any work-related tasks as requested.
4. Responsible for following regulations of COMAR, CARF, any other regulatory body, and company policies/procedures related to your scope of work.
5. Co-facilitating orientation of all new hires if requested.
6. Support the maintenance of a safe environment by participating in training and drills as requested.
7. Advise the supervisor on the development and implementation of protocols to better enhance the efficiency of day-to-day operations effecting change when approvals are made.
8. Troubleshoot and abate any issues that could adversely affect the day-to-day operations.
9. Report to the Supervisor daily and as requested. Report deviation of operational standards to CEO daily.
10. Check emails and company group texts at least every 30 minutes while on duty; respond accordingly.
PHYSICAL DEMANDS: Regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard.
WORKING CONDITIONS: Remote work environment
