Payer Services Supervisor

Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services – a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

Job Summary: 

The Payer Services Supervisor position assists the Assistant Vice President of Payer Relations in overseeing the operations of a team of centralized payer services specialist and coordinators in coordinating residents seeking medical services through insurance verifications, prior authorization, and recertifications from various insurance payers. The Payer Services Supervisor will support and assign complex payer specific tasks related to verifications, prior authorizations, and recertifications to assigned team members, while overseeing the completion. This position will be responsible for tracking and
troubleshooting issues to ensure timely approvals or verifications are obtained and limit the risk of nonpayment. The Payer Services Supervisor assists the team in completing tasks promptly and efficiently.

Roles and Responsibilities: 

Supervise and lead a team of Payer Services Specialist and Authorization Coordinators.
• Ensure that the team is knowledgeable about preservice processes, insurance verification, authorizations, concurrent reviews, and other relevant tasks.
• Conduct training programs for the team to keep them informed about changes in processes, policies, and technologies.
• Collaborate with other departments such as billing, medical records, and nursing to ensure smooth patient flow and accurate information exchange.
• Identify trends and areas for improvement based on data analysis.
• Streamline workflows to enhance efficiency and accuracy.
• Collaborate with other departments, campuses, and payers to improve overall resident experience.
• Identify and implement improvements in the verification and authorization processes.
• Oversee insurance verification processes for residents, confirming coverage details, eligibility,
copayments, and any pre-authorization requirements.
• Oversee the verification of patient insurance information to ensure accurate billing.
• Address issues related to insurance coverage for billing teams.
• Develop and maintain protocols to ensure accurate and timely insurance verification for all residents.
• Ensure that insurance verification and authorization processes align with regulatory standards and facility policies.
• Collaborate with billing and coding teams to prevent billing issues related to insurance verification and authorization.
• Maintain meticulous records of insurance verifications, authorizations, and related communications.
• Manage the process of obtaining authorizations from insurance companies for medical procedures, therapies, medications, or other services rendered to residents.
• Liaise with healthcare providers, insurance companies, and resident families to facilitate authorization processes effectively.
• Generate reports on authorization statuses, denials, trends, and reimbursement issues for analysis.
• Identify areas for improvement in insurance-related processes and implement strategies to enhance efficiency and accuracy.
• Identify areas for process improvement and implement changes to enhance the efficiency and effectiveness of the prior authorization workflow.
• Other duties as assigned.

Qualifications: 

Education: Bachelor Degree
Experience: 5-8 years

Physcial Requirements:

Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

· Competitive salaries and weekly pay
· 401(k) Company Match
· Mental Health Support Program
· Student Loan Repayment and Tuition Reimbursement
· Health, vision, dental & life insurance kick in on the first of the month after your start date
· First time homebuyers’ program
· HSA/FSA
· And so much more!

Whether you’re looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you’ve ever belonged.

Flexibility is what you want, and flexibility is what you’ll get.
Come into the office because you want to – not because you have to. At Trilogy, we’re proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.

Six months of training, orientation and fun!
We believe in setting our employees up for success. That’s why your first six months are referred to as your “blue-badge” period – a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.

As one of Fortune’s Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor’s Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.