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Precertification Supervisor Jobs in Florida (NOW HIRING)

Licensed Surveyor

Tampa, FL · On-site

$74K - $102K/yr

Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... PLS Licensure/FDOT Precertification required * 8 years of experience in Land Surveying * Strong ...

Licensed Surveyor

Tampa, FL · On-site

$72K - $99K/yr

Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... PLS Licensure/FDOT Precertification required * 8 years of experience in Land Surveying * Strong ...

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Precertification Supervisor information

What is a precertification supervisor?

Precertification Supervisors are healthcare professionals who oversee the precertification process, ensuring that medical procedures, treatments, and hospital admissions are authorized by insurance providers before they occur. They manage a team of precertification specialists, review complex cases, ensure compliance with insurance guidelines, and collaborate with healthcare providers to gather necessary documentation. Their main goal is to streamline the authorization process, minimize claim denials, and support patient care by ensuring timely approvals.

How does a precertification supervisor typically collaborate with clinical and administrative teams to ensure timely approvals?

A Precertification Supervisor plays a key role in bridging communication between clinical staff, such as nurses and physicians, and administrative teams like billing and insurance coordinators. They coordinate workflows to ensure that documentation is complete and submitted promptly for insurance preauthorizations, minimizing treatment delays for patients. Regular meetings and process updates with both clinical and administrative staff are common, allowing the supervisor to address bottlenecks and implement improvements. This collaborative approach is essential for maintaining compliance and achieving efficient patient care delivery.

What are the key skills and qualifications needed to thrive as a precertification supervisor, and why are they important?

A Precertification Supervisor needs a deep understanding of insurance authorization processes, medical terminology, and healthcare regulations, typically backed by a healthcare-related degree and relevant experience. Familiarity with precertification software, electronic health record (EHR) systems, and payer portals is essential, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong leadership, attention to detail, and effective communication are crucial for managing teams and ensuring accurate, timely approvals. These skills ensure that patients receive necessary care without delays, reduce claim denials, and support organizational compliance.

What is the difference between Precertification Supervisor vs Preauthorization Coordinator?

AspectPrecertification SupervisorPreauthorization Coordinator
CredentialsTypically requires relevant healthcare certifications, experience in insurance or medical billingOften requires similar certifications, with a focus on insurance verification and authorization procedures
Work EnvironmentSupervises team members in healthcare or insurance settings, overseeing precertification processesHandles day-to-day authorization requests, working closely with providers and insurance companies
Employer & IndustryHospitals, insurance companies, healthcare providersMedical offices, clinics, insurance firms

The Precertification Supervisor oversees the precertification process and manages staff, while the Preauthorization Coordinator handles the direct authorization requests. Both roles require similar credentials and work within healthcare and insurance environments, but differ in scope and responsibilities.

Supervisor Cancer Institute Access & Financial Services - TGH Access Operations

Tampa, FL • On-site

Tampa General Hospital
Hospitals • 5 - 10K employees

Full-time

Posted 16 days ago


Key responsibilities

  • Supervises daily revenue cycle support functions, including insurance verification, precertification, charge entry, and billing reconciliation.

  • Oversees daily operations of patient access functions such as registration, scheduling, insurance verification, authorizations, and point-of-service collections.

  • Leads the financial counseling team in providing patient education on financial responsibilities, assistance programs, and payment plan options.


Tampa General Hospital rating

7.4

Company rating: 7.4 out of 10

Based on 163 frontline employees who took The Breakroom Quiz


Job description

The Cancer Institute (CI) Access and Financial Services Supervisor is responsible for the day-to-day supervision of front-end access and revenue cycle support functions across Oncology services. This includes oversight of scheduling, registration, insurance verification, financial counseling, charge entry and reconciliation and denials support. The Supervisor ensures that workflows are followed accurately and efficiently, supports team performance and partners with the Manager and other leaders to improve processes that enhance the patient experience and financial performance. Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital.

Essential Functions: 

  • Supervises daily revenue cycle support functions, including insurance verification, precertification, charge entry and billing reconciliation. Ensures accurate and timely input of documented charges into GE/IDX and SMS billing systems. 
  • Oversees day-to-day operations of the GE/IDX Transaction Editing System (TES), including monitoring of work file volumes and resolution of errors. 
  • Supports personnel management activities including performance feedback, timekeeping, and providing input on performance evaluations and disciplinary actions, under direction of the Manager. 
  • Coordinates timely transfer of billing documentation (referrals, progress notes, letters of guarantee) to claims processing teams to support complete and compliant claim submissions.
  • Collaborates with provider support staff and clinical teams to optimize charge capture and documentation. Escalates issues and provides feedback to the Manager as needed. 
  • Assists in the implementation of policies and procedures to streamline front-end workflows across Radiation Oncology, Medical Oncology, BMT, and Surgical Oncology.
  • Participates in operations huddles and contributes to performance improvement initiatives in partnership with the Manager and other supervisors. 
  • Monitors front-end denials related to registration, eligibility, and authorization; leads initial investigations and supports root cause analysis. 
  • Implements corrective actions for recurring front-end issues and communicates findings to team and leadership.
  •  Works collaboratively with billing and compliance teams to ensure timely follow-up on denied claims. 
  • Monitors and reconciles missing charges reports; ensures corrective action is taken and charges are resubmitted appropriately. 
  • Supervises daily operations of patient access functions, including registration, scheduling, insurance verification, authorizations and point-of-service collections. 
  • Ensures access workflows align with clinical templates and patient care priorities. 
  • Monitors accuracy of patient demographics and insurance information to reduce billing errors.
  • Leads the financial counseling team in providing patient education on financial responsibilities, assistance programs and payment plan options.
  • Assocaite's degree business/finance/accounting/related field
  • Minimum three (3) years of experience in healthcare access, patient registration, billing, or financial counseling, with one to two (1-2) years in a lead or supervisory role.

Technical Knowledge, Skills, and Abilities 

  • Working knowledge of insurance verification, prior authorization, CPT/ICD coding, and billing processes. 
  • Experience with EHR and billing systems, such as Epic, Cerner, or IDX. 
  • Proficient in Microsoft Office, particularly Excel, for tracking and reporting metrics. Strong communication, leadership, and problem-solving skills.

What Tampa General Hospital employees say

Pay

Benefits

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About Tampa General Hospital

Sourced by ZipRecruiter

Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time - an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Tampa, FL, US

Year founded

1927