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The Supervisor Outpatient Authorization is responsible for managing the day-to-day operations of the prior authorization team that supports outpatient pediatric services, including therapy, behavioral health, diagnostic procedures, specialist visits, and advanced radiology (CT, MRI, PET, and Nuclear Medicine). This role directly supervises the Outpatient Authorization Team, ensuring high standards of productivity, quality, and compliance are consistently met. The supervisor will lead efforts to improve authorization workflows, collaborate with clinical departments, and support departmental initiatives aimed at enhancing efficiency and patient access. The supervisor is accountable for team performance, resolution of escalated issues, and ensuring timely and accurate processing of all outpatient authorization requests.
Responsibilities:
Team Leadership & Management: Supervise the Outpatient Authorization Team and oversee daily operations, ensuring team members meet productivity and quality expectations. Foster a culture of accountability, collaboration, and high performance.
Quality & Productivity Oversight: Set clear performance standards and monitor team metrics to ensure goals are met. Provide regular feedback and coaching to support continuous improvement.
Outpatient Services Authorization Oversight: Ensure timely and accurate processing of prior authorization requests for outpatient services, including therapy, behavioral health, diagnostic imaging, and specialty visits. Focus on minimizing delays in care and ensuring compliance with payer requirements.
Process Improvement & Compliance: Collaborate with manager on initiatives to improve operational efficiency and authorization outcomes. Lead efforts to identify inefficiencies and implement strategies to improve workflows and patient experience. Ensure adherence to payer guidelines, regulatory standards, and hospital policies.
Training & Development: Develop and implement operational training programs for the authorization team. Ensure staff are well-versed in payer requirements, outpatient procedures, and best practices. Provide ongoing coaching and support.
Escalation & Issue Resolution: Review escalated authorization issues. Work directly with insurance companies, clinical teams, and families to resolve challenges that may impact patient care or financial outcomes.
Administrative and Reporting Oversight: Oversee team scheduling, performance evaluations, and departmental initiatives. Track and report on key performance indicators, challenges, and opportunities for improvement to leadership.
Other information:
Technical Expertise
Strong leadership and team management skills with the ability to hold staff accountable for performance and quality.
In-depth knowledge of prior authorization processes for outpatient pediatric services.
Ability to manage authorizations and ensure timely approvals.
Excellent communication and interpersonal skills for working with clinical teams, insurance representatives, and families.
Proven ability to lead process improvement initiatives and drive operational efficiency.
Proficiency with EHR systems, payer portals, and medical coding software.
Strong problem-solving skills and ability to resolve issues related to authorization requests and denials.
Office/Remote Setting: Primarily remote or hybrid, depending on department needs.
Minimal Travel: Occasional travel may be required for team training or departmental meetings.
Education and Experience:
Bachelor's degree in Business, Healthcare Administration, or related field, or equivalent years of relevant experience required.
Minimum of 4 years of experience in Revenue Cycle, Patient Access, or Insurance roles related to prior authorization, insurance verification, billing, or customer service in a healthcare setting is required, with at least 2 years in a supervisory or management role or 3 years in a Team Lead role.
Medical terminology, payer requirements and clinical documentation knowledge is required. Experience with pediatric outpatient services and payer authorization requirements is strongly preferred.
More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.