Authorization Specialist Team Lead

Our Company

SpringHealth Behavioral Health and Integrated Care

Overview

 

The Authorization Specialist Team Lead is responsible for overseeing the daily operations of the authorization team, ensuring timely and accurate processing of medical service authorizations. This role combines leadership responsibilities with hands-on work, supporting the team in navigating payer requirements, improving workflow efficiency, and upholding compliance with healthcare regulations and organizational policies.

 

Applicant can be located anywhere in US

Responsibilities

·       Team Leadership & Supervision:

·       Supervise and coordinate the daily activities of a team of Authorization Specialists.

·       Provide guidance, training, and performance feedback to team members.

·       Monitor individual and team performance metrics and address areas for improvement.

·       Serve as the primary point of contact for escalated issues and complex cases.

·       Operational Management:

·       Ensure timely submission and follow-up of prior authorizations and referrals.

·       Maintain up-to-date knowledge of payer policies, clinical guidelines, and authorization protocols.

·       Collaborate with clinical teams, scheduling staff, and billing departments to support seamless patient access and revenue cycle operations.

·       Process Improvement:

·       Identify bottlenecks and implement process enhancements to improve efficiency and accuracy.

·       Develop and update standard operating procedures (SOPs) and ensure staff adherence.

·       Participate in audits and support compliance with HIPAA and other regulatory standards.

·       Reporting & Communication:

·       Generate regular reports on authorization status, denial trends, turnaround times, and team productivity.

·       Communicate effectively with internal stakeholders and payers to resolve delays or denials.

·       Facilitate regular team meetings and contribute to departmental planning.

Qualifications

• High school diploma or equivalent required.
• Associate or Bachelor's degree in healthcare administration, business, or a related field preferred.
• 3–5 years of experience in medical authorizations, billing, or healthcare administration.
• 1–2 years of experience in a supervisory or lead role is highly preferred.
• In-depth understanding of payer authorization processes and healthcare terminology.
• Strong leadership, problem-solving, and organizational skills.
• Excellent verbal and written communication abilities.
• Proficiency in EMR/EHR systems and medical billing software.
• Ability to manage multiple priorities in a fast-paced environment.
• Travel up to 25%

About our Line of Business

SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives. For more information, please visit www.springhealthbehavioral.com. Follow us on Facebook and LinkedIn.