Supervisor - Eligibility and Authorization

Supervisor, Benefits Eligibility and Authorization About Navista We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 40 sites, Navista provides the support community practices need to fuel their growth—while maintaining their independence. What Revenue Cycle Management (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of medical practices.

The Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

• Supervise and coordinate the daily activities of the oncology authorization team to ensure timely completion of authorization requests and financial clearance activities.
• Monitor work queues, assign priorities, and manage staff productivity to support timely patient treatment and service scheduling.
• Oversee prior authorization, referral, and medical necessity processes for medical oncology, radiation oncology, imaging, genetic testing, surgery, specialty medications, and ancillary services.
• Review escalated cases, denied authorizations, urgent treatment requests, and payer issues to ensure timely resolution.
• Ensure authorizations are obtained prior to service, tracked appropriately, and renewed or extended as needed to avoid treatment delays.
• Collaborate with physicians, advanced practice providers, nursing, pharmacy, scheduling, and financial counseling teams to resolve authorization barriers and support patient readiness for treatment.
• Conduct daily huddles, staff coaching, and workflow reviews to drive accountability, quality, and service excellence.
• Monitor authorization turnaround times, aging inventories, pending requests, and high-priority patient cases to ensure departmental performance goals are met.
• Maintain expertise on payer policies, medical necessity requirements, authorization guidelines, and regulatory changes impacting oncology services.
• Review authorization-related denials, identify root causes, and implement corrective actions to reduce revenue leakage and prevent recurring issues.
• Perform quality audits to ensure authorization accuracy, documentation compliance, and adherence to organizational policies and procedures.
• Develop and maintain department standard operating procedures, training materials, and payer-specific workflows.
• Generate and analyze daily, weekly, and monthly operational reports, including authorization approval rates, denial trends, productivity, and turnaround times.
• Partner with Revenue Cycle, Patient Access, Managed Care, and Clinical Leadership teams to improve authorization efficiency and financial performance.
• Support staff development through training, performance management, mentoring, and competency assessments.
• Ensure compliance with Medicare, Medicaid, commercial payer, IPA, and other regulatory requirements governing authorization and financial clearance activities.
• Serve as the primary escalation point for complex authorization issues, payer disputes, peer-to-peer reviews, and treatment-related access concerns.
• Lead continuous improvement initiatives focused on reducing treatment delays, improving patient experience, increasing authorization approval rates, and minimizing preventable denials.

• Bachelor's degree in Healthcare Administration, Business, Nursing, or related field preferred.
• Minimum five (5) years of healthcare prior authorization, financial clearance, patient…