Prior Authorization Supervisor

Location: Green Bay, Wisconsin, United States (Tulip Lane‑023)

About the role

Prior Authorization Supervisor – assists the FSR/Prior Authorization Manager in developing, organizing, and implementing prior authorization operations across Prevea in alignment with the organization’s mission, vision, and values. Provides direct supervision of Prior Authorization Specialists and Leads, ensuring consistent use of Epic referral modules, adherence to documentation standards, and timely processing of all prior authorizations.

Responsibilities

• Perform full range of supervisory responsibilities for Prior Authorization Specialists and Leads, including coaching, development, performance management, scheduling, and work assignment.
• Provide frontline supervision across all departments with centralized prior authorization staff.
• Ensure specialists follow established Epic and departmental standards for authorization processing, documentation, and work queue management.
• Monitor work queue performance and escalate issues as needed.
• Collaborate closely with IT on Epic workflow configuration, referral module setup, work queue management, and related build needs.
• Identify and surface workflow gaps or system issues affecting authorization processing.
• Work with the Business Office to support proactive denial management, communicate payer requirement changes, and identify authorization‑related denial trends.
• Provide input on workflows that affect front‑end authorization and back‑end denial resolution.
• Identify patient care issues, decision‑making challenges, and staff concerns related to prior authorization processes; facilitate resolution and support staff professional growth.
• Collaborate with clinical departments to address authorization‑related questions, communicate requirements, and support continuity of care.

Requirements

Applicants should have experience supervising prior authorization staff, familiarity with Epic referral modules and work queue management, and knowledge of payer requirements and regulatory compliance. Strong communication, problem‑solving, and collaborative skills are essential.