Healthcare Team Lead

The Lead provides guidance and operational leadership to team members monitors performance and quality manages escalations and works closely with clinical teams providers payers scheduling and leadership to maintain efficient healthcare workflows.

• Oversee daily pre-certification prior authorization and scheduling workflows.
• Monitor team productivity quality turnaround times accuracy and service levels.
• Provide coaching guidance and performance support to team members.
• Handle escalated authorization payer scheduling and patient access issues.
• Ensure accurate documentation of authorization and scheduling activities in EHR and related systems.
• Coordinate with clinical teams providers payers and front-end staff to prevent delays and appointment cancellations.
• Ensure compliance with payer requirements medical necessity guidelines and organizational policies.
• Maintain and improve SOPs workflows and operational guidelines.
• Identify process gaps and implement improvements to reduce delays rework and denials.
• Support staffing workload allocation training and team performance activities.
• Prepare operational reports and communicate performance updates and concerns to leadership.
• Support implementation transition and process improvement initiatives as needed.

• Bachelors degree in Healthcare Management Business Administration Nursing or related field preferred.
• Minimum 35 years of healthcare experience in pre-certification prior authorization scheduling patient access insurance verification or related functions.
• At least 2 years of leadership team lead supervisory or workflow coordination experience.
• Strong knowledge of insurance authorization payer requirements and healthcare workflows.
• Familiarity with CPT ICD-10 medical terminology EHR systems payer portals and authorization platforms.
• Strong communication analytical organizational and problem-solving skills.
• Ability to manage high-volume workflows and multiple priorities in a fast-paced healthcare environment.

• Healthcare Operations
• Pre-Certification & Prior Authorization
• Scheduling & Patient Access
• Team Leadership
• Performance Management
• Quality & Compliance
• Process Improvement
• Stakeholder Management
• Escalation & Problem Solving