Supervisor, Authorization Operations; DME

Overview

Supervises the day-to-day operations and coordinates all work activities of the non-clinical authorization team. Ensures a customer-focused operation that meets organizational standards, goals, and objectives. Makes recommendations on operational improvements for the department. Works under general direction.

• Supervises the day-to-day operations of the non-clinical authorization team. Oversees the development, utilization, and evaluation of internal processes to ensure customer satisfaction, efficient operations, and accurate and timely resolution for all complaints and issues.
• Coaches staff to provide quality member services, and prompt and accurate completion of all required documentation. Ensures effectiveness of daily activities such as responsiveness to emails, number of calls, complaints issues, accuracy in setting up authorizations, etc.
• Develops and maintains a strong ongoing customer service focus in dealing with internal and external customers and conveying a positive image of the organization.
• Works with management team, to identify trends and variances; ensures timely and accurate resolution of discrepancies.
• Participates in Quality Assurance ("QA") activities to maintain high levels of staff performance and aligns department performance with organizational standards.
• Performs all duties inherent in a supervisory role. Participates in identifying staffing and operational needs, participates in hiring, training, evaluating and when necessary, termination of assigned staff in accordance with VNS Health policies and procedures. Collaborates with Manager, in conducting performance appraisal of assigned staff.
• Participates in special projects and performs other duties as assigned.

Education: Bachelor's Degree in Business Administration or related field or equivalent work experience required

Work Experience: Minimum of three experience in a health plan or customer service environment required. Working knowledge of Medicare /Medicaid and NYS and CMS regulations a plus preferred. Proficient in personal computer skills including Microsoft Word and Excel required. Effective oral and written communication, interpersonal, and customer service skills required.

USD $62,400.00 - USD $72,000.00 /Yr.

VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care.

Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.