Supervisor-Insurance Verification
Columbus, NE - USA
Job Summary
Job Summary
This role Supervises the daily operations of the Insurance Validation Team within Centralized Patient Access. Ensures efficient workflows appropriate staffing levels timely completion of verification tasksand achievement of departmental KPIs. Provides hands-on support for complex insurance scenarios delivers ongoing training and development and drives revenue cycle performance through proactive monitoring of authorizations work queues and payer compliance. This position is under the general direction of the leadership of Centralized Patient Access or Baptist Connected Center-Corporate. Performs other duties as assigned.
Job Responsibilities
Supervises the daily activities of the Insurance Validation Team ensuring efficient workflows
appropriate staffing and timely completion of verification tasks.
Monitors work queues productivity dashboards and authorization turnaround times to meet or
exceed departmental KPIs.
Assists staff with complex insurance scenarios including secondary coordination of benefits
(COB) managed care rules and government payer policies.
Provides onboarding and ongoing training for insurance validation specialists to build technical
competency and ensure consistent high-quality performance.
Evaluates team performance conducts coaching and corrective action as needed and completes
annual performance reviews.
Ensures compliance with all payer regulations hospital policies and revenue cycle standards.
Collaborate with Patient Access leadership clinical departments and revenue cycle partners to
resolve issues and optimize pre-service financial clearance.
Participates in the planning data collection and analysis phases of performance improvement
activities.
Track and report key metrics such as verification accuracy authorization turnaround and denial
prevention impact.
Completes assigned goals and special projects as directed.
Experience Description Minimum Required Preferred/Desired Minimum 3 years of experience in insurance verification patient access or revenue cycle operations |
Education Description Minimum Required Preferred/Desired High School Diploma or equivalent |
Training Description Minimum Required Preferred/Desired Proficiency with EMR registration and insurance validation system. |
Special Skills Description Minimum Required Preferred/Desired Strong understanding of insurance plans benefits authorizations and payer regulations Excellent leadership communication and coaching skills Proficiency with EMR registration and insurance validation systems |
Licensure Description Minimum Required Preferred/Desired |
Reporting Relationships Does this position formally supervise employees If set to YES then this position has the authority (delegated)to hire terminate discipline promote or effectively recommend such to manager. |
Reporting Relationships |
Work Environment |
Functional Demands Label Short Description Full Description Sedentary Very light energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed stretcher) Medium High energy level Lift and carry 40-50lbs. Push/pull /lbs. (Patient on bed stretcher) Lateral transfer 150-200lbs. (ie. Patient) Heavy Very high energy level |
Required Experience:
Manager
About Company
Baptist Memorial Hospitals provide compassionate, close-to-home care for patients in the Mid-South. Learn about our medical clinics and health care services.