Authorization Specialist Team Lead
University of Michigan
Authorization Specialist Team Lead
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**Job Summary**
Under direction of the supervisor of the Centralized Outpatient Authorization Unit, the Team Lead-Learning Liaison coordinates daily work, solves basic operational issues and is a ?go to? person and subject matter expert for the department. Performs unit training to new and existing staff. Maintains and updates unit training material. Assists the supervisor and manager in establishing performance goals and targets in keeping with outstanding customer service, and the performance and quality standards of the department.
**Mission Statement**
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
**Responsibilities***
+ Performs unit training.
+ Develops and maintains new and existing unit training documentation, timelines and training outcomes ensuring materials are kept current.Shares updated and relevant information.
+ Conducts new hire quality audits for 30 days post-unit training completion.
+ Coaches and mentors? staff on standardized workflow processes.
+ Serves as a first tier of escalation for process related questions and issues.
+ Identify issues or concerns with insurance, authorization, work queues or unit operations; apply critical thinking skills to resolve issues within the scope of the lead responsibilities and/or escalate to the supervisor or manager.
+ Performs the job duties of the Authorization Specialist and Patient Business Associate.
+ Possesses and applies comprehensive knowledge of insurance and authorizations to complete complex assignments.
+ Identifies high financial risk patients; connects them with appropriate resources for assistance.
+ Collaborates with Rev Cycle Learning & Performance Improvement department and performs MiChart testing of upgrades of new features .
+ Assists in hiring process, orientation, and onboarding of new hires.
+ Apply knowledge and use of LEAN in Daily Work Principles - value metrics, huddles, ELI?s; proficient at owning issues from identification to resolution.
+ Partner with Supervisors and Managers across Revenue Cycle and clinical units to ensure efficiency and best practice.
+ Attend and present in operational huddles and meetings.
+ Promotes a positive image to patients and their families, physicians, and all other customers by adhering to Michigan Medicine Core Values of Respect, Compassion, Collaboration, Innovation, and a Commitment to Excellence.
+ Cultivate a patient centered financial advocacy environment.
+ Other duties as assigned that support the success and growth of the unit.
**Required Qualifications***
An Associate's degree in Healthcare Administration, Business, Health Information Technology or other healthcare related field and/or a combination of education and experience is required. A total combination of 8 years of professional experience including 2-3 years of business office or healthcare experience is necessary. Knowledge of health insurance, third party payers, government regulations are required. Strong written, verbal and interpersonal communication skills, problem solving, decision making and negotiation skills are necessary. Excellent computer application skills are required. Strong dedication to customer service, ability to be flexible and work within a team-focused, participative management framework is required.
**Desired Qualifications***
A Bachelor's degree in a healthcare or business related field and prior experience working with insurance authorizations is strongly desired. Current CPC (Certified Professional Coder) certification is preferred. Previous lead and/or experience working with LEAN methodology is strongly desired. Understanding and ability to interpret medical terminology and insurance benefit information is preferred. Considerable knowledge of University policies, procedures and regulations is desired.
**Work Locations**
This position is a remote position where you will work from _home/virtually_ once training is completed and performance-based competency has been obtained _._ High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.
Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.
**Modes of Work**
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about thework modes (https://hr.umich.edu/working-u-m/my-employment/ways-we-work-resource-center/ways-we-work-implementation-group/modes-work) .
**Background Screening**
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
**Application Deadline**
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
**U-M EEO/AA Statement**
The University of Michigan is an equal opportunity/affirmative action employer.
**Job Detail**
**Job Opening ID**
260359
**Working Title**
Authorization Specialist Team Lead
**Job Title**
Customer Service Rep Lead
**Work Location**
Michigan Medicine - Ann Arbor
Ann Arbor, MI
**Modes of Work**
Mobile/Remote
**Full/Part Time**
Full-Time
**Regular/Temporary**
Regular
**FLSA Status**
Nonexempt
**Organizational Group**
Exec Vp Med Affairs
**Department**
MM Rev Cycle (PTO)
**Posting Begin/End Date**
2/14/2025 - 3/07/2025
**Career Interest**
Administration
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