316685 – Associate Director Prearrival Authorization
Job ID:
R156456
Shift:
1st
Full/Part Time:
Full_time
Pay Range:
$46.55 – $69.85
Location:
Milwaukee, WI – 3301 W Forest Home Ave
Milwaukee, WI 53215
Benefits Eligible:
Yes
Hours Per Week:
40
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate’s job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Schedule Details/Additional Information:
Monday – Friday 8:00am – 5:00pm and non-traditional business hours as necessary for business needs.
Major Responsibilities
Oversee and lead the pre-arrival authorization teams, enterprise wide, ensuring efficient and accurate processing of each account.
Build and develop a highly effective team to provide oversight for staffing productivity and throughput, complaint resolution, and payor policy support. Including HR responsibilities for managing complex staffing issues and teammate relations problems that are escalated .
Develop and execute strategies to improve the pre-service hospital authorization process, aiming for consistency, accuracy, quicker approvals, reduced administrative burdens, and excellent customer service.
Foster effective communication and collaboration with internal and external providers, insurance companies, and key stakeholders to navigate authorization challenges in established processes and to design and develop workflows for new services that require authorization.
Stay abreast of healthcare regulations and insurance policies, ensuring that the pre-service authorization process complies with legal and industry standards.
Collaborate with finance and administrative teams to monitor and streamline financial processes, and to manage budget censuring cost effectiveness, resource optimization, and quality. Develops and recommends operating and capital budgets. Ensures expenditures support approved budget objectives.
Ensure standardization of training, performance, and outcomes across all authorization teams. Oversee continual performance improvement activities to improve quality and increase reimbursement through improved demographic, insurance, and data capture. Ensure data capture sufficient to support payor, quality, and DEI initiatives across the enterprise.
Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
Aurora Health Care is the largest health system in Wisconsin and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. The state’s largest private employer, the system serves patients across 17 hospitals, more than 70 pharmacies and more than 150 sites of care. Aurora Health Care, in addition to Advocate Health Care in Illinois and Atrium Health in the Carolinas, Georgia and Alabama, is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.
