Mission Healthcare
Home Health Portals Operations Supervisor
Mission Healthcare, San Diego, California, United States, 92189
Home Health Portals Operations Supervisor
Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with C ompassion, A ccountability, R espect, E xcellence and S ervice(b)(CARES). By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!
Benefits for Eligible Employees
401(k) retirement savings plan
Employee Assistance Program (EAP)
Paid vacation, sick leave, and holidays
Additional Full Time Benefits
Medical, dental, and vision insurance
Flexible Spending & Health Savings Accounts
Disability, life, and AD&D insurance
Pay range (depending on experience) $68-75K
Schedule / Shift Full Time, Monday-Friday, Day Shift
Job Overview The Home Health Portals Supervisor oversees and mentors the Customer Service Portal team while delivering exceptional service in a fast‑paced, team‑oriented environment. The role collaborates with the Quality team to identify training needs and works closely with the Senior Director to develop and improve systems that support an efficient referral process. The Supervisor must demonstrate strong communication, organization, problem‑solving, and multitasking skills, and will partner with key internal teams—including Marketing, Clinical, Insurance Authorization, and Scheduling. Responsibilities include reviewing and processing referrals, determining acceptance based on established criteria, and maintaining up‑to‑date knowledge of Medicare/insurance reimbursement, regulations, service lines, and coordination standards.
Responsibilities
Supervise the Portals team day‑to‑day, including workload assignment, scheduling, coverage planning, and workflow prioritization to meet department goals.
Initiate referral by accepting information from referral sources (including the use of multiple electronic referral systems).
Oversee end‑to‑end portal referral processing—from receipt, triage, and eligibility screening to acceptance, documentation, and timely handoff to Intake/Clinical teams.
Ensure accurate entry of patient demographics, diagnosis, orders, and service lines; verify completeness and resolve missing/incorrect information promptly.
Serve as the subject matter expert (SME) for portal workflows, settings, permissions, and best practices across all platforms.
Troubleshoot portal issues; partner with IT for ticketing, integrations, and upgrades, when needed.
Maintain and update SOPs, job aids, and quick‑reference guides for platform‑specific processes.
Guide the team on payer requirements, medical necessity basics, and documentation standards.
Coordinate verification of benefits, eligibility, and prior authorization workflows (where applicable) to support timely starts of care.
Escalate complex payer barriers and collaborate with Revenue Cycle team to resolve delays.
Collaborate with Senior Director to analyze trends to identify bottlenecks; implement process improvements and automation where feasible.
Develop dashboards and cadence reports for leadership, present insights and action plans.
Work with the Senior Director to establish and update processes as Federal/State guidelines and rules change.
Maintain current knowledge of Agency programs and changes in home care field through study and attendance at meetings and seminars based on Agency scope of service and Medicare guidelines.
Attend and participate in all scheduled and supplemental meetings.
Attend and participate in training as required.
Qualifications
Minimum one (1) year of Home Health Intake experience and one (1) year of experience using Home Care Home Base (HCHB).
Strong emotional intelligence with the ability to communicate complex information clearly and professionally across all organizational levels.
Advanced knowledge of Home Health platforms (Epic, CarePort, ExtendedCare, NaviHealth, Curaspan/ECIN, Ensocare), including navigation, troubleshooting, and workflow optimization.
Solid understanding of common diagnoses, orders, payer requirements, eligibility verification, and prior authorization workflows.
Excellent verbal and written communication skills with proven ability to guide staff through complex clinical and operational cases.
Demonstrated problem‑solving skills using sound judgment and fact‑based analysis to drive effective, efficient solutions.
Ability to work collaboratively in a team environment while meeting deadlines; maintains professionalism, ethical conduct, and sensitivity to corporate and customer needs.
Equal Employment Opportunity We are proud to be an equal‑opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristics. All employment decisions are based on qualifications, merit, and business need.
Accessibility Commitment We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.
Communication Consent By submitting an application, you acknowledge and consent to receive communications—including emails, phone calls, and text messages—from Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP".
Let Better Growth Come To You! Create a Job Alert Interested in building your career at Mission Healthcare? Get future opportunities sent straight to your email.
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Benefits for Eligible Employees
401(k) retirement savings plan
Employee Assistance Program (EAP)
Paid vacation, sick leave, and holidays
Additional Full Time Benefits
Medical, dental, and vision insurance
Flexible Spending & Health Savings Accounts
Disability, life, and AD&D insurance
Pay range (depending on experience) $68-75K
Schedule / Shift Full Time, Monday-Friday, Day Shift
Job Overview The Home Health Portals Supervisor oversees and mentors the Customer Service Portal team while delivering exceptional service in a fast‑paced, team‑oriented environment. The role collaborates with the Quality team to identify training needs and works closely with the Senior Director to develop and improve systems that support an efficient referral process. The Supervisor must demonstrate strong communication, organization, problem‑solving, and multitasking skills, and will partner with key internal teams—including Marketing, Clinical, Insurance Authorization, and Scheduling. Responsibilities include reviewing and processing referrals, determining acceptance based on established criteria, and maintaining up‑to‑date knowledge of Medicare/insurance reimbursement, regulations, service lines, and coordination standards.
Responsibilities
Supervise the Portals team day‑to‑day, including workload assignment, scheduling, coverage planning, and workflow prioritization to meet department goals.
Initiate referral by accepting information from referral sources (including the use of multiple electronic referral systems).
Oversee end‑to‑end portal referral processing—from receipt, triage, and eligibility screening to acceptance, documentation, and timely handoff to Intake/Clinical teams.
Ensure accurate entry of patient demographics, diagnosis, orders, and service lines; verify completeness and resolve missing/incorrect information promptly.
Serve as the subject matter expert (SME) for portal workflows, settings, permissions, and best practices across all platforms.
Troubleshoot portal issues; partner with IT for ticketing, integrations, and upgrades, when needed.
Maintain and update SOPs, job aids, and quick‑reference guides for platform‑specific processes.
Guide the team on payer requirements, medical necessity basics, and documentation standards.
Coordinate verification of benefits, eligibility, and prior authorization workflows (where applicable) to support timely starts of care.
Escalate complex payer barriers and collaborate with Revenue Cycle team to resolve delays.
Collaborate with Senior Director to analyze trends to identify bottlenecks; implement process improvements and automation where feasible.
Develop dashboards and cadence reports for leadership, present insights and action plans.
Work with the Senior Director to establish and update processes as Federal/State guidelines and rules change.
Maintain current knowledge of Agency programs and changes in home care field through study and attendance at meetings and seminars based on Agency scope of service and Medicare guidelines.
Attend and participate in all scheduled and supplemental meetings.
Attend and participate in training as required.
Qualifications
Minimum one (1) year of Home Health Intake experience and one (1) year of experience using Home Care Home Base (HCHB).
Strong emotional intelligence with the ability to communicate complex information clearly and professionally across all organizational levels.
Advanced knowledge of Home Health platforms (Epic, CarePort, ExtendedCare, NaviHealth, Curaspan/ECIN, Ensocare), including navigation, troubleshooting, and workflow optimization.
Solid understanding of common diagnoses, orders, payer requirements, eligibility verification, and prior authorization workflows.
Excellent verbal and written communication skills with proven ability to guide staff through complex clinical and operational cases.
Demonstrated problem‑solving skills using sound judgment and fact‑based analysis to drive effective, efficient solutions.
Ability to work collaboratively in a team environment while meeting deadlines; maintains professionalism, ethical conduct, and sensitivity to corporate and customer needs.
Equal Employment Opportunity We are proud to be an equal‑opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristics. All employment decisions are based on qualifications, merit, and business need.
Accessibility Commitment We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.
Communication Consent By submitting an application, you acknowledge and consent to receive communications—including emails, phone calls, and text messages—from Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP".
Let Better Growth Come To You! Create a Job Alert Interested in building your career at Mission Healthcare? Get future opportunities sent straight to your email.
#J-18808-Ljbffr