[Hiring] Supervisor of Pre-Authorization & Referrals @Altru Health System

Role Description

The Supervisor Pre-Authorization & Referrals is responsible for the daily operations, oversight, and performance of the Pre-Authorization and Referral team. This role ensures timely and accurate insurance authorization, referral processing, and compliance with payer requirements to support patient access, continuity of care, and revenue cycle integrity. The supervisor provides leadership, coaching, and development for staff while promoting exceptional customer service and operational excellence.

• Supervises pre-authorization and referral staff, including hiring, onboarding, training, scheduling, coaching, performance management, and staff meetings.
• Fosters a culture of accountability, collaboration, patient-centered service, and continuous improvement.
• Develops and maintains staffing plans to ensure adequate coverage, balanced workloads, and achievement of productivity, quality, and service expectations.
• Oversees the timely and accurate processing of insurance authorizations, prior authorizations, and specialty referrals in accordance with payer requirements, medical necessity guidelines, and organizational policies.
• Monitors work queues, workflows, and performance metrics to optimize turnaround times, address performance concerns, and improve operational efficiency.
• Identifies process gaps and implements improvements to enhance efficiency, accuracy, patient experience, and overall service delivery.
• Collaborates with clinical departments, providers, scheduling, revenue cycle teams, and payer representatives to resolve authorization and referral issues and address escalated concerns.
• Monitors denials, appeals, delays, and related trends; develops action plans and supports revenue cycle initiatives to reduce financial risk, improve reimbursement, and minimize avoidable write-offs.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Qualifications

• Required: Associates - Business/Finance/Healthcare- OR -Associates - Related Field
• Preferred: Bachelors - Business/Finance/Healthcare- OR -Bachelors - Related Field
• Required: A minimum of 3 years Related Experience
• This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Requirements

• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Rarely (1-4%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Rarely (1-4%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Benefits

• Health plan
• 401(k) retirement plan
• Dental plan
• Vision plan
• Life and disability insurance
• Education assistance
• Paid time off (PTO)