Prior Authorization Team Lead

PATIENT ACCESS - LEAD / SUPERVISOR

Company: Confidential Hiring
Location: Bridgetowne Quezon City
Work Setup: Onsite
Schedule: Mid Shift

We are looking for an experienced Patient Account Specialist Supervisor to oversee the daily operations performance quality and development of the Account Specialist team under Patient Access Benefits & Authorization.

Key Responsibilities:

• Supervise daily operations involving insurance verification benefits review package registration referrals authorization support and patient financial responsibility workflows.
• Monitor team productivity quality turnaround times and service levels.
• Serve as a subject matter expert on payer requirements eligibility tools benefit interpretation referrals authorizations network status and provider participation.
• Review team documentation to ensure accuracy and compliance with established standards.
• Provide coaching training feedback and performance development to team members.
• Handle escalated patient provider payer and internal inquiries.
• Collaborate with Front Office Clinical Contact Center Revenue Cycle and leadership teams to resolve issues and improve workflows.
• Support staffing coordination workload balancing process improvement and quality assurance initiatives.
• Prepare and communicate operational and performance reports to leadership.
• Ensure compliance with departmental policies payer requirements privacy standards and applicable regulations.

Qualifications:

• High School Diploma or equivalent required; Associates or Bachelors degree in Healthcare Administration Business or a related field is preferred.
• At least 35 years of experience in Patient Access Insurance Verification Benefits Referrals Authorizations Revenue Cycle physician office or hospital environments.
• At least 1 year of experience in a lead supervisory training quality review or workflow coordination capacity is preferred.
• Strong knowledge of insurance verification benefit interpretation prior authorization referral processes payer requirements and patient financial responsibility.
• Familiarity with CPT ICD-10 medical terminology clinical documentation and payer medical necessity guidelines.
• Proficiency in EHR systems eligibility tools pre-certification platforms payer portals Microsoft Office and reporting tools.
• Strong leadership communication organizational analytical problem-solving coaching and conflict-resolution skills.
• Ability to manage workloads analyze trends identify root causes and implement workflow improvements.
• Orthopedic experience is strongly preferred.

What We Offer:

• Onsite work environment in Bridgetowne Quezon City
• Mid-shift schedule
• Opportunity to lead and develop a healthcare-focused Patient Access team
• Career growth and professional development opportunities