Shared Services Supervisor - Referrals & Authorizations

The Villages, FL

Full Time

1149 Main Street, The Villages, FL

Experienced

About The Villages Health
The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 800 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown.

Our Full-time Benefits
Medical, Dental & Vision Insurance | Matching HSA & 401k | PTO & Paid Holidays | The Villages Charter School Eligibility | & much more!

Hiring Event
Please bring your resume and join us:

Friday, September 19^th from 9:30 AM to 1:30 PM at The Villages Health Administrative Office (6503 Powell Road, The Villages, FL 32163) – RSVP’s are encouraged through Eventbrite at https://bit.ly/4dThI2V

Responsibilities:
Shared Services Supervisor is an exempt, management position, responsible for general office management responsibilities, such as: planning, organizing, and supervising of shared services operations to support high quality, efficient and patient-centered services. The Shared Services Supervisor – Referrals & Authorizations, will work alongside the Shared Services Supervisor – Scheduling, and the Shared Services Supervisor – Medical Records to ensure coordination of operations and consistent communication. It may be required for one supervisor to cover for another in the event of absence or leave.

Essential Duties and Responsibilities:
Shared Services Supervisor is responsible and accountable for supervising practice support operations by analyzing and reviewing procedures/practices. In turn work methods need to be optimized to improve effectiveness and efficiency of operations in the Referrals department.

Referrals & Authorizations

Monitor and develop workflows to support efficiency in the referrals order processing, authorizing, and scheduling.
Monitor and manage volumes and allocated responsibility within the referrals team to maintain par levels and service level agreements.
Stays up to date on policy requirements for all payers, including changes to authorization requirements and patient out of pocket responsibility.
Maintains open communication and networking with all outside preferred providers to ensure ease of access and efficient receipt of orders.
Works closely with the revenue cycle team to ensure changes to coverages and changes that impact referrals or authorizations are known, communicated, and acted upon.
Oversight of the authorization process within referrals to include changes in plan requirements, portal use, software management and reporting.
Ensures open communication with care center leadership to support and improve the patient and clinician referral experience.

Other Duties as assigned

Ensuring appropriate staffing to maintain and support operations.
Responsible for hiring and on-boarding to include interviewing, onboarding, and training.
Completes payroll and time management for designated staff
Performs employee coaching and development, as needed.
Completes annual performance evaluations for designated staff.
Completes regular 1:1 meetings with each staff for continued development and growth.
Establish and implement goals and objectives within each area to ensure alignment with overall corporate goals.
Super-User for EHR and/or all related systems used or accessed by referrals, insurance portals, authorization portals, etc.
Maintaining and track Relatient usage and education to meet company standards.
Develops and maintains monthly/periodic reporting for data/information sharing related to various functions within shared services.
Ability to reset passwords/troubleshoot basic connectivity issues, or identify a resource for resolution, i.e., submits applications/IT ticket.
Sets up Microsoft teams (connection) in conference room or Café for various meetings, etc.
Oversee reconciliation and management of petty cash.
Regular communication with Care Center leadership to review procedures, practices, and operational concerns.
Ability to give clear and concise communication to ensure timely and effective flow of information.
Works closely with the Managers, Supervisors, Medical Directors and Directors of various departments to ensure continuity of care and alignment of shared services with clinical operations.
Ability to go to the center locations, on occasion, to provide training, verify workflow and align shared services operations with clinical operations.

Education/ Experience

Three to five years of management experience including at least two years in a specialty health care organization.
Bachelor’s degree preferred.
RHIT Certification preferred.
Knowledge and understanding of Lean Process
Knowledge of Referral & Authorization operations
Supervises the functions within the Shared Services department.
Knowledge of organization policies and procedures. .
Knowledge of human resource management techniques.
Knowledge of office management techniques and practices.
Knowledge of Microsoft Office applications (Word, Excel, PowerPoint, Teams)
Excellent organizational and time management skills.
Outstanding verbal and written communication skills.
Setting, defining, assigning, monitoring, and evaluating outcomes of tasks and goals.
Skills in developing policies and procedure and implementing tasks related to specialty care services.
Skill in problem solving.
Skill in developing and implementing recruitment materials.
Skills in analytical thinking and strategic planning.
A focus on continual process improvement.
Ability to clearly communicate and apply policies and principles to solve everyday problems and deal with a variety of situations.
Ability to plan, exercise initiative, problem solve, make decisions.
Ability to read, interprets, and apply policies and procedures.
Ability to identify problems and recommend solutions.
Ability to establish priorities and coordinate work activities.
Ability to project positive and professional image.
Ability to coordinate and prioritize multiple tasks, projects, and schedules.
Ability to establish and develop effective working relationships.
Ability to communicate effectively with all levels of employees; facilitate group processes and change.
Ability to develop/make effective presentations and serve as a trainer when qualified.

Salary is commensurate with experience.

Questions? Contact us at [email protected]

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SELF-ATTESTATION

I certify that I have read and understand the applicant instructions included with this application and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief.

I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment.

I understand that The Villages Health is an equal opportunity employer and does not unlawfully discriminate in employment and this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment.

I further understand that if hired, my employment will be considered "at-will" and that my employment may be terminated for any reason, with or without cause or notice, at any time by me or the Company and that this application is not intended to constitute a contract of continued employment.

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Shared Services Supervisor - Referrals & Authorizations

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