Insurance Supervisor

Company Overview

Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the Southeast, offering both clinical and surgical services to our patients. We pride ourselves on delivering high-quality, patient-centered care and are recognized as leaders in multi-modality treatment options and innovative care delivery models. We are seeking dedicated professionals to join our growing team and support exceptional patient care.

We are seeking an experienced and detail-oriented Insurance Supervisor – Verification & Authorization to provide day-to-day oversight and guidance to our Insurance Verification and Insurance Authorization teams. This role is responsible for supervising daily operations, supporting staff performance, resolving escalated insurance issues, and ensuring accurate and timely processing of insurance-related tasks.

The ideal candidate is a hands‑on leader with a strong knowledge of the healthcare revenue cycle who can balance operational demands with team development and quality assurance.

This is a full‑time, benefited position reporting to the Associate Director, Insurance Coordination.

• Supervise daily activities of Insurance Verification and Authorization Specialists to ensure productivity, accuracy, and adherence to workflows
• Provide coaching, guidance, and real‑time problem‑solving support to team members
• Assist with onboarding and ongoing training of new and existing staff

• Monitor daily verification, authorization, and referral workflows to ensure timely completion
• Ensure coverage and task distribution across the team to meet operational needs
• Support adherence to established policies, procedures, and best practices

• Track team performance metrics including turnaround times, authorization outcomes, and denial trends
• Report performance concerns and trends to leadership and assist with corrective action plans when needed

• Serve as the primary escalation point for complex insurance issues, payer disputes, and challenging authorization cases
• Collaborate with clinical staff, billing, and leadership to resolve insurance‑related barriers to care

• Conduct routine audits of insurance verification and authorization work to ensure accuracy and completeness
• Ensure compliance with internal policies, payer requirements, and state and federal regulations, including HIPAA

• Maintain professional working relationships with insurance carriers and third‑party payers
• Assist in resolving payer‑specific issues and communicating updates to the team

• Identify workflow gaps and inefficiencies and recommend improvements
• Assist leadership with implementation of process changes and system enhancements
• Other insurance‑related duties as assigned

• Strong attention to detail with the ability to manage multiple priorities
• Professional, personable communication style when interacting with patients, payers, and internal teams
• Excellent verbal and written communication skills for documentation and follow‑up
• Ability to lead by example in a fast‑paced, high‑volume environment

• Minimum of 4 years of experience in an outpatient medical office focused on insurance verification and authorization
• Prior lead, senior, or supervisory experience within insurance coordination preferred
• Strong working knowledge of CPT and ICD‑10 coding and medical pre‑certification protocols
• Experience with authorization portals required
• Pain Management authorization/orthopedic experience required
• EMR/EHR (eCW) system experience required