Supervisor - Benefits Eligibility and Authorization

About the role

About Navista Supervisor, Benefits Eligibility and Authorization 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.

Responsibilities

• 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