We are an established out-of-network medical billing company located in New Hyde Park and Merrick, Long Island. We are looking for a detail-oriented Pre-Authorization Medical Billing Supervisor to lead our pre-authorization team. The ideal candidate will be responsible for overseeing the pre-authorization process for medical services, ensuring compliance with insurance requirements, and optimizing workflow efficiency. This role requires strong leadership skills and a thorough understanding of medical billing and insurance protocols.

Key Responsibilities:

• Team Leadership: Supervise and mentor the pre-authorization team, providing training, performance evaluations, and ongoing support to enhance team performance.
• Pre-Authorization Oversight: Manage the pre-authorization process for various medical procedures, ensuring all necessary documentation is collected and submitted in a timely manner.
• Communication: Serve as the primary point of contact for insurance companies and healthcare providers regarding pre-authorization inquiries and issues.
• Process Improvement: Analyze current pre-authorization workflows, identifying opportunities for process enhancements to improve efficiency and reduce turnaround times.
• Reporting: Prepare and analyze reports related to pre-authorization metrics, presenting findings and recommendations to management for decision-making.
• Training and Development: Develop and implement training programs for new and existing team members on pre-authorization policies, procedures, and best practices.
• Collaboration: Work closely with our clients, their office staff, and our internal billing department to ensure accurate and timely authorization for services.

Qualifications:

• High School Diploma or higher required
• 5+ years of experience in medical billing or pre-authorization, with at least 2 years in a supervisory role.
• In-depth knowledge of insurance authorization processes, medical billing codes (CPT, ICD-10), and healthcare regulations.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Strong communication and interpersonal skills, with the ability to build effective relationships with internal and external stakeholders.
• Excellent analytical and problem-solving skills, with a keen attention to detail.
• Ability to manage multiple priorities and adapt to a fast-paced environment.
• Out of network billing experience is highly preferred.

Benefits:

• Comprehensive health benefits (medical, dental, vision)
• Aflac Insurance Plans
• Profit Sharing Plan
• Paid time off and holidays