BrightSpring Health Services
Authorization Manager
BrightSpring Health Services, Murfreesboro, Tennessee, us, 37132
Authorization Manager
Job Locations
US-TN-MURFREESBORO
ID
2024-149915
Line of Business
BrightSpring Health Services
Position Type
Full-Time
Our Company
BrightSpring Health Services
Overview
Responsible for overseeing the agency's Authorization Department by supervising the Authorization Specialists. Oversees and assists in the process of obtaining and tracking authorization for all patients for whom their insurance requires pre-authorization, and ensures the agency has the authorization required to bill for services provided.
Responsibilities
Answers telephones and provides excellent customer service to our professional staff and insurance representatives
Runs and utilizes computer reports regularlyProvides accurate, complete updates to Agency management on status of authorizations for all patients requiring treatment authorizationEnsures authorization is obtained and tracked for all patients whose insurance requires pre-authorizationEnsures insurance eligibility is completed and accurate for all patientsEnsures all authorization requests and insurance eligibility are documented clearlyParticipates in planning for the orientation and education of employees as it relates to Authorization departmentOversees, approves, and manages departmental payroll, PTO, and overtime requestsEnsures objectives are implemented; follows and promotes agency policies and proceduresServes as a role model for all colleagues by setting an example of high standards in dress, conduct, cooperation, and job performanceObserves confidentiality and safeguards all patient related informationNotifies Supervisor of problems in a timely manner and works to help provide solutionsCompletes ongoing education requirements and demonstrates ongoing competency in required areasOther duties as assigned
Qualifications
High school graduate or GEDMinimum of two (2) years of experience in Health Care billing and/or authorization practices Minimum of one (1) year of supervisory or management experienceGeneral knowledge of the framework, organization, and function of home careSound knowledge of health care operations and third-party reimbursementProficient in the use of Microsoft Office (Word, Excel, Outlook, Internet Explorer) with the ability to learn industry specific software applicationsSolid organizational skills, thoroughness, and a keen attention to detail with the ability to multi-task while prioritizing effectivelyAbility to work independently and in a team environmentExcellent, oral, written, and interpersonal communication skillsProfessional appearance and demeanor
About our Line of Business
BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company's pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company's services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visitwww.brightspringhealth.com. Follow us onFacebook,TwitterandLinkedIn.
Job Locations
US-TN-MURFREESBORO
ID
2024-149915
Line of Business
BrightSpring Health Services
Position Type
Full-Time
Our Company
BrightSpring Health Services
Overview
Responsible for overseeing the agency's Authorization Department by supervising the Authorization Specialists. Oversees and assists in the process of obtaining and tracking authorization for all patients for whom their insurance requires pre-authorization, and ensures the agency has the authorization required to bill for services provided.
Responsibilities
Answers telephones and provides excellent customer service to our professional staff and insurance representatives
Runs and utilizes computer reports regularlyProvides accurate, complete updates to Agency management on status of authorizations for all patients requiring treatment authorizationEnsures authorization is obtained and tracked for all patients whose insurance requires pre-authorizationEnsures insurance eligibility is completed and accurate for all patientsEnsures all authorization requests and insurance eligibility are documented clearlyParticipates in planning for the orientation and education of employees as it relates to Authorization departmentOversees, approves, and manages departmental payroll, PTO, and overtime requestsEnsures objectives are implemented; follows and promotes agency policies and proceduresServes as a role model for all colleagues by setting an example of high standards in dress, conduct, cooperation, and job performanceObserves confidentiality and safeguards all patient related informationNotifies Supervisor of problems in a timely manner and works to help provide solutionsCompletes ongoing education requirements and demonstrates ongoing competency in required areasOther duties as assigned
Qualifications
High school graduate or GEDMinimum of two (2) years of experience in Health Care billing and/or authorization practices Minimum of one (1) year of supervisory or management experienceGeneral knowledge of the framework, organization, and function of home careSound knowledge of health care operations and third-party reimbursementProficient in the use of Microsoft Office (Word, Excel, Outlook, Internet Explorer) with the ability to learn industry specific software applicationsSolid organizational skills, thoroughness, and a keen attention to detail with the ability to multi-task while prioritizing effectivelyAbility to work independently and in a team environmentExcellent, oral, written, and interpersonal communication skillsProfessional appearance and demeanor
About our Line of Business
BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company's pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company's services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visitwww.brightspringhealth.com. Follow us onFacebook,TwitterandLinkedIn.