Job Description

Compass Healthcare Consulting & Placement is conducting a search for an experienced Authorizations Supervisor for a Licensed Home Care Agency located in Brooklyn, NY. Qualified candidates will have extensive LHCSA Home Care Authorizations experience, will be process oriented, innovative, and work with the team towards Authorizations process improvements. Good communicator, with Supervisor or Management level Home Care Authorizations experience and great people skills, will be considered..

The Authorizations Supervisor is responsible for ensuring that all necessary authorizations are obtained for client services, ensuring timely and accurate processing, and communicating with payers, clients, and internal teams. This role involves verifying insurance eligibility, monitoring service coverage, and managing the authorization process to ensure proper billing and reimbursement.

Responsibilities:

• Verifying insurance eligibility and authorization for current and potential clients in a timely manner.
• Communicating payer authorization and eligibility information to relevant teams, including clinical managers, business managers, and external providers.
• Entering insurance authorization and eligibility information into the company's software, ensuring accurate and up-to-date records.
• Monitoring and ensuring all client authorizations are current and that services provided align with payer requirements.
• Performing timely re-authorization and eligibility checks to maintain service coverage.
• Communicating and documenting information regarding changes in authorization and eligibility to branch management and other stakeholders.
• Ensuring adherence to regulatory requirements and company policies regarding authorizations and billing.
• Providing training, resources, and support to staff to ensure they can effectively manage the authorization process.
• Identifying opportunities to improve processes, including billing, collections, and denial management, and implementing changes to enhance efficiency.
• Addressing issues related to denials, appeals, and non-compliance with regulatory requirements.

Qualifications:

• 3+ years experience in Authorizations within a LHCSA, Licensed Home Care Agency
• Ability to oversee a team, manage others
• Ability to make process improvements
• Experience training and mentoring staff within Authorizations
• Detail oriented
• Great Communication skills
• Computer & Program Savvy within Home Care Programs and Processes
• Act as Subject Matter Expert in Authorizations, staying current with all regulatory requirements for compliance

Competitive Salary $62,000 - 64,000 plus Benefits!

Qualified Candidates Please Apply Now for Immediate Consideration!

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