Prior Authorization Supervisor

Prior Authorization Supervisor

Job description:

Lead a Team That Keeps Patient Care Moving Forward

Are you a healthcare professional with a passion for accuracy, leadership, and patient access excellence?

Networks Connect is seeking a Prior Authorization Supervisor for a local client to oversee a high-performing team responsible for managing authorizations, financial clearance, and payer requirements in a fast-paced healthcare environment.

In this role, you’ll lead a team that ensures every patient is cleared for care, efficiently, accurately, and compassionately. You’ll help streamline workflows, reduce claim denials, and uphold service standards that directly impact the patient experience.

What You’ll Do

• Supervise the daily operations of the Prior Authorization and Financial Clearance team.
• Ensure timely, accurate insurance verification, pre-certifications, and claim submissions.
• Monitor productivity, quality, and accuracy metrics across the department.
• Develop and coach staff through training, performance reviews, and process improvement initiatives.
• Identify workflow challenges and implement effective solutions to maintain efficiency.
• Collaborate with leadership to align operations with organizational revenue cycle goals.
• Maintain compliance with HIPAA, JCAHO, and payer guidelines.
• Drive continuous improvement by analyzing data, customer feedback, and performance trends.

What You Bring

• Education: Associate’s degree required; Bachelor’s degree preferred.
• Experience: 5+ years in healthcare revenue cycle, patient access, or prior authorization, including 2+ years of supervisory experience.
• Strong understanding of Medicare, Medicaid, and commercial payer requirements.
• Proven ability to manage teams, resolve conflicts, and mentor staff.
• Excellent communication, analytical, and problem-solving skills.
• Experience with patient accounting, EMR, or authorization systems (Epic preferred).
• Commitment to maintaining confidentiality and compliance with regulatory standards.

Why You’ll Love This Opportunity

• Leadership role with room for growth and impact in a respected healthcare organization.
• Be part of a collaborative environment that values innovation, accuracy, and service excellence.
• Help patients access the care they need by ensuring financial and administrative readiness.

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Education:

• Associate (Required)

Experience:

• Supervising: 2 years (Required)

Work Location: In person