Preauthorization Supervisor

Responsibilities

• Supervise daily operations of the Interventional Radiology (IR) authorization and referral team, including workflow management and staffing coverage.
• Oversee authorization workflows across Manhattan and Westchester locations to ensure standardized processes and timely patient clearance.
• Manage referral and authorization work queues, ensuring appropriate follow-up and patient outreach regarding status and documentation.
• Serve as the primary escalation point for complex payer issues, medical necessity disputes, and denied services.
• Monitor authorization denials, identify trends, and implement corrective action plans to improve reimbursement outcomes.
• Provide guidance, mentorship, and performance management to junior authorization specialists.
• Conduct quality assurance audits to ensure compliance with HIPAA, payer regulations, and organizational policies.
• Collaborate with physicians, nursing teams, and revenue cycle leadership to minimize delays in patient care.

Requirements

• Bachelor's degree or equivalent in education and experience.
• Minimum of 3 years of experience in healthcare insurance authorization, revenue cycle, managed care, or physician billing.
• Demonstrated experience managing complex authorization cases, insurance escalations, and denials.
• Experience supporting procedural or surgical specialties.
• Strong knowledge of insurance eligibility verification and referral processes.

Preferred Qualifications

• 4-5+ years of experience in healthcare insurance authorization or related operations.
• Experience specifically within Interventional Radiology, Radiology, or Surgical Services.
• Knowledge of CPT/HCPCS coding, ICD-10 diagnosis coding, and medical terminology.
• Previous experience working in an academic medical center or large healthcare organization.

About the Company

Columbia University is a world-class research university and a leading provider of healthcare services through its affiliated medical practices.