Prior Authorization Medical Office Supervisor

PN Access and Authorizations

Full Time

Day Shift

M-F 8a-5p

**This position is for a Supervisor over the Centralized Prior Authorization Team (CPAT). Prior authorization experience is strongly preferred.**

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.

Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary

Position is responsible for administering, directing, planning and coordinating all clerical and office activities. Oversees daily office operations and delegates authority to assigned staff. Develops guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary. Ensures that office is staffed appropriately. Oversees office payroll and leave records. Oversees and ensures that daily operations operate according to office procedures. Responsible for supervising accounts receivable posting/balancing, reviewing and processing delinquent accounts for proper handling or payment arrangements, collections, or indigent follow-up. Responsible for review, coding and timely return of invoices to accounting. Works closely with Office Manager.

Minimum Qualifications

•Minimum Education: High School Diploma or Equivalent.

•Minimum Years of Experience: One year of experience working in a medical/physician practice setting

•Substitutable Education & Experience: None

•Required Certifications/Licensure: None

•Required Training: Medical Terminology, ICD-9, and CPT coding experience

Essential Functions

• Oversees daily office operations and delegates authority to assigned staff.
• Develops guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary.
• Ensures that office is staffed appropriately. Oversees office payroll and leave records.
• Oversees and ensures that daily operations operate according to office procedures.

Duties & Responsibilities

• Responsible for supervising accounts receivable posting/balancing, reviewing and processing delinquent accounts for proper handling or payment arrangements, collections, or indigent follow-up.
• Responsible for review, coding and timely return of invoices to accounting.
• Works closely with Practice Manager.
• Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

Equal Opportunity Employer

It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.