Team Lead Insurance Authorization Specialist

Accountabilities: Serve as the initial point of contact for questions and issues related to insurance authorization activities, supporting team members with day-to-day problem solving.

Oversee daily operations and allocate workload among team members based on volume, priorities, deadlines, and operational needs.

Ensure patient visits and procedures receive required authorization before services are rendered, and communicate denied services to the appropriate clinical and support teams.

Review authorization denials, identify trends, and collaborate with leadership to implement process improvements that reduce denials and support revenue optimization.

Represent the insurance authorization team in relevant departmental meetings and provide recommendations for improving processes and workflows.

Work closely with department leadership and training personnel to create, update, and maintain current insurance authorization training materials.

Train, coach, mentor, and support insurance authorization specialists while promoting accuracy, efficiency, and adherence to established guidelines.

Review team members’ work to ensure accuracy, compliance, and consistency with established authorization requirements and processes.

Act as a point of contact for clinical nursing teams to help resolve urgent or complex authorization cases.

Listen to team feedback, address concerns and conflicts, and escalate significant issues to leadership when appropriate.

Establish clear team goals, delegate responsibilities, set deadlines, and monitor performance against established expectations.

Track team performance and report relevant metrics and operational trends to department leadership.

Foster an open, collaborative, and motivating team environment while recognizing strong performance and encouraging creativity and efficiency.

Support team engagement through activities and initiatives that strengthen collaboration and morale.

Requirements:

You have a high school diploma or equivalent and 3–4 years of experience working in a medical environment such as a hospital, physician office, or ambulatory clinic, or an Associate’s degree with at least 2 years of relevant medical-environment experience.

You have 3–4 years of experience with medical terminology and preferably possess knowledge of ICD-10 and CPT coding.

You understand insurance authorization processes, insurance guidelines, and third-party payer practices.

You are proficient with Microsoft Office applications and possess solid basic computer skills.

You have excellent written and verbal communication skills and are comfortable working effectively with colleagues, clinical teams, and leadership.

You can prioritize competing responsibilities, manage a high volume of work, meet deadlines, and maintain a high level of efficiency and attention to detail.

You are capable of directing others’ activities efficiently while managing multiple tasks simultaneously.

You can follow written and verbal instructions and apply established procedures consistently.

You demonstrate strong interpersonal skills, sound judgment, and the ability to resolve team concerns and operational issues constructively.

You are comfortable working in a fast-paced environment where clinical staff may require immediate attention and priorities can change quickly.

You can remain focused while sitting for extended periods and are comfortable using keyboards, telephones, fax machines, headsets, and other business equipment for extended periods.

Benefits:

The position is full time with a scheduled workweek of 40 hours.

The role is offered as a remote position.

The position provides opportunities to develop leadership experience through coaching, mentoring, delegation, and team performance management.

The role offers the opportunity to contribute directly to process improvements, denial reduction, operational efficiency, and authorization quality.

You will collaborate with clinical, operational, and leadership teams in a healthcare environment.

Reasonable accommodations may be available to enable qualified individuals with disabilities to perform the essential functions of the role.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

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