Supervisor, Insurance Verification- Authorization/Intake
Core
Leads teams responsible for front-end functions determining whether a patient's durable medical equipment (DME) order can be processed, billed, and delivered without delay.
Role type
Supervisor, Insurance Verification, Authorization & Intake
Builds
DME order processing, billing, and delivery workflows
Domain
Healthcare / Medical Billing / DME
Required skills
Team leadership, insurance eligibility verification, prior authorization management, HIPAA compliance, DME/HME industry knowledge, payer coverage criteria knowledge, data entry oversight, performance management
Preferred skills
Bachelor's degree, 4-8 years healthcare experience, project management experience, DME/HME industry experience, Brighttree platform knowledge
Technologies
Brighttree, DME billing/management platforms
Responsibilities
Hire, train, coach, and manage performance for insurance verification, authorization, and intake staff; Ensure timely, accurate verification of patient insurance eligibility and benefits for DME orders; Oversee submission, tracking, and follow-up of prior authorization requests to Medicare, Medicaid, and commercial payers; Oversee intake of new referrals and documents ensuring complete and accurate patient and order data entry; Ensure compliance with HIPAA, CMS, payer, and accreditation requirements; Partner with billing/collections, sales, and customer service teams to resolve order and account issues
Seniority
Mid-level Supervisor, hands-on management