Supervisor, Prior Authorization

13 hours, 5 minutes ago
Full-time
Senior
Operations
IVX Health

IVX Health

IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. They offer biologic infusion and injection therapies in outpatient centers with unique amenities like private suites and flexible scheduli...

Health Care Providers & Services
51-250
Founded 2013
$136M raised

Description

  • Supervise, coach, and develop a team of Prior Authorization Coordinators.
  • Lead onboarding, training, and ongoing performance management for the team.
  • Conduct regular one-on-one meetings focused on productivity, quality, and development.
  • Address performance gaps through coaching and corrective action.
  • Oversee daily prior authorization workflows, queues, and work distribution.
  • Ensure timely and accurate processing across commercial, Medicare, and Medicaid payers.
  • Monitor turnaround times, throughput, and service level expectations.
  • Serve as the first escalation point for complex or high-risk authorization cases.
  • Ensure payer requirements and medical necessity criteria are applied consistently.
  • Partner with Quality Assurance to monitor denials, errors, and rework.
  • Implement corrective actions to improve accuracy and reduce avoidable denials.
  • Support audit readiness and compliance with payer and regulatory requirements.
  • Collaborate with Intake, Referral Coordination, Scheduling, Clinical, and Revenue Cycle teams.
  • Communicate capacity, performance trends, and operational risks to leadership.
  • Support new tools, processes, and workflow improvements.

Requirements

  • High school diploma or equivalent.
  • 4–6 years of experience in prior authorization, revenue cycle, or healthcare operations.
  • Experience working with commercial and government payers, including Medicare and Medicaid.
  • Prior experience in a lead, senior, or supervisory capacity.
  • Strong knowledge of prior authorization workflows and payer requirements.
  • Proficiency with EMR/practice management systems and Microsoft Office, including Excel and Outlook.
  • Associate or Bachelor’s degree in healthcare administration, business, or a related field preferred.
  • Experience supporting infusion services, specialty pharmacy, or buy-and-bill environments preferred.
  • Experience leading remote or distributed teams preferred.
  • Background in process improvement or quality initiatives preferred.

Benefits

  • Remote, full-time work arrangement.
  • Pay range of $60,000 to $72,000 USD.
  • Eligibility for commissions/bonus.
  • 401(k) retirement plan with company match.
  • Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
  • Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) options.
  • Supplemental accident, critical illness, and hospital indemnity coverage.
  • Dependent Care FSA and disability coverage.
  • Fertility and family support benefits.
  • Life and AD&D insurance.
  • Counseling and wellness support.
  • Tuition reimbursement, certification support, and access to a CEU library.
  • Charitable giving, matched donations, paid volunteer time off, and employee referral bonus.

Interested in this position?

Apply directly on the company website

Apply Now

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