MedStar Health · 2 months ago
Supervisor Central Financial Clearance Authorization
Columbia, MD
Full-time
Onsite
Mid, Senior Level
$60K/yr - $102K/yr
1+ years expMedStar Health is a healthcare organization seeking a Supervisor for Central Financial Clearance Authorization. The role involves supervising daily activities, ensuring quality and productivity goals are met, and managing pre-authorization workflows while providing opportunities for team growth and resolving customer service issues.
Health CareMedical
Responsibilities
Supervises and oversees the verification of eligibility and pre-authorization processes. Ensures staff obtains required pre-visit clearance referrals and authorizations as per payer requirements matrices and managed care contracts
Oversees necessary authorization and clearance reports and work queues. Ensures that all documentation is accurate and available in the EHR physician and facility billing systems. Monitors escalation activity in assigned channels. Supervises the review and analysis of outstanding authorizations and clearance
Supervises the day-to-day activities of assigned staff in conjunction with management to accomplish established goals. Establishes priorities schedules distributes work and reassigns tasks as necessary. Investigates monitors and consults with management and makes recommendations to address untimely processing of reports and/or tasks
Tracks error rates in authorization submissions ensures quality assurance for eligibility verification and authorizations and supports staff in meeting benchmarks for timely submission and denial management
Ensure that systems including but not limited to IDX SMS/Invision and MedConnect have correct and detailed authorization data and documentation to facilitate accurate billing. Ensures cross-training on systems to keep staff updated on system changes that impact pre-authorization and eligibility workflows
Conducts regular audits on accounts assigned. Identifies trends and/or problems and assists the leader with recommendations based on findings to improve staff effectiveness. Communicates with provider offices regarding issues or recommendations
Assists with the development of financial operational and productivity targets. Supervises and effectively uses resources to achieve financial operational and reduced denial targets in conjunction with management
Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and payer requirements. Maintain effective communication with insurance companies for troubleshooting understanding regulatory changes and overseeing the resolution of authorization-related issues
Conducts formal performance reviews and provides feedback to team members in accordance with Human leader Resource Personnel Assessment guidelines. Orients new associates to department policies and procedures. Provides timely and appropriate counseling of personnel when they deviate from department standards. Evaluates all staff after ninety days of employment and annually thereafter. Works with staff in a timely manner to improve track and develop areas of poor performance
Supervises team members by empowering coaching answering questions giving guidance and leading by example. Provides team members with opportunities for learning creativity and personal growth
Hires and retains appropriate and qualified personnel to perform the functions and services of the department. Demonstrates appropriate interviewing skills and knowledge of employment laws
Qualification
Required
High School Diploma or GED required
1-2 years Job related experience and knowledge of hospital or physician business office procedures required, or experience in pre-authorization and pre-certification revenue cycle management or insurance related fields required
Knowledge of medical terminology procedure and diagnosis codes required
Detailed working knowledge and proficiency in supervising payer authorization and pre-clearance processes with particular focus on understanding of payer requirements
Ability to resolve complex payer issues to completion training individuals in the authorization pre-clearance and denial processes
Excellent leadership communication telephone etiquette and interpersonal skills
Able to deal effectively and professionally with a variety of different individuals
Excellent organizational skills to manage multiple tasks in a timely manner
Ability to perform in a high-pressure fast-paced environment
Proficient use of hospital registration and/or billing systems and Microsoft applications and other software applications
Preferred
Associate degree in healthcare preferred
Related certifications from AAHAM HFMA and related organizations preferred
Successful supervisory experience in a hospital or physician office environment preferred
HFMA NAHAM or AAHAM revenue cycle certification e.g. CHAA CHAM CRCS CRCS or related field preferred
Company
MedStar Health
MedStar Health is a not-for-profit healthcare organization
10001+ employees
H1B Sponsorship
MedStar Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (13)
2023 (14)
2022 (14)
2021 (12)
2020 (14)
Funding
Current Stage
Late StageTotal Funding
$29MKey Investors
American Medical AssociationAgency for Healthcare Research and QualityA. James and Alice B. Clark Foundation
2023-06-21Grant
2022-09-27Grant· $2M
2020-07-03Grant· $27M
Leadership Team
David Mayer
Executive Director MedStar Institute for Quality and Safety Quality and Safety CEO Patient Safety Mo
Recent News
2025-12-17
Maryland Daily Record
2025-12-05
Company data provided by crunchbase