Supervisor, Reimbursement - Prior Authorization

About the role

As a Supervisor, Reimbursement Prior Authorization, you play an important role in the overall success of the company. Your responsibilities include driving payment for Guardant Health's services, managing the authorization request process, and working with colleagues in Finance and Client Services to optimize billing processes.

Responsibilities

• Serve as the knowledge expert and information source for staff, key stakeholders
• Ensure authorization team’s compliance with contract requirements, policies, procedures, and performance standards
• Maintain knowledge of contract requirements, policies, procedures, and performance standards
• Aid in the reimbursement appeals process by providing chronological documentation/tracking of prior-authorization verification and advisor follow-up for cases under review
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
• Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks
• Assist with onboarding, hiring, and training authorization team members
• Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
• Work with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
• Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones
• Provide coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services