Job Description

Job Summary 

The Supervisor, Insurance Verification is responsible for overseeing the daily operations of insurance verification, pre-registration, outpatient clinic registration, customer service, and cashier staff. This role ensures efficient workflows, maintains compliance with policies and regulatory requirements, and provides training and support to staff. The Supervisor collaborates with internal and external stakeholders to enhance the insurance verification process, improve customer service standards, and support financial performance objectives. 

Essential Functions

Supervises insurance verifiers, pre-registration specialists, outpatient clinic registrars, customer service, and cashier staff, including hiring, training, performance evaluations, and disciplinary actions. Develops work schedules, assigns priorities, and ensures adequate staffing levels to support operational needs. Monitors and enforces policies and procedures related to insurance verification, pre-registration, customer service, and cashier functions to ensure efficiency and regulatory compliance. Collaborates with physician offices to ensure prior authorization is completed for necessary procedures and stays current with changes in insurance requirements. Conducts audits and quality checks to ensure the accuracy and completeness of pre-registered charts and insurance verification records. Compiles and analyzes monthly statistical, financial, and productivity reports, addressing discrepancies and ensuring compliance with established benchmarks. Assists patients with inquiries regarding estimated procedure costs, insurance coverage, and prior authorization requirements. Works closely with the Registration Manager and Education Instructor to ensure high-quality customer service skills are implemented and maintained. Cross-trains staff to provide registration coverage as needed and ensures continuous knowledge-sharing among team members. Collaborates with Patient Financial Services to identify and address reimbursement changes from insurance carriers. Ensures the protection and privacy of health information in compliance with HIPAA regulations. Performs other duties as assigned. Complies with all policies and standards.

Qualifications

Associate Degree in Healthcare Administration, Business Administration, or a related field preferred 3-5 years of experience in insurance verification, patient registration, or healthcare financial services required 1-2 years of supervisory or leadership experience in a healthcare setting preferred Experience working with insurance payers, pre-authorization processes, and revenue cycle operations preferred

Knowledge, Skills and Abilities

Strong understanding of insurance verification, pre-authorization requirements, and reimbursement processes. Proficiency in electronic health records (EHR), patient registration systems, and insurance verification tools. Excellent leadership, communication, and team management skills. Strong analytical and problem-solving abilities to identify inefficiencies and implement process improvements. Ability to manage multiple priorities and ensure accuracy in patient data collection and verification. Knowledge of HIPAA regulations and patient confidentiality standards. Commitment to high-quality customer service and patient experience.

Licenses and Certifications

CHAM - Certified Healthcare Access Manager preferred or Certified Revenue Cycle Representative (CRCR) preferred