Manager Enterprise Authorization Services
Core
Manages a team of authorization specialists to coordinate insurance prior authorizations, analyze denied services, and implement workflows to minimize payment denials.
Role type
Manager, Healthcare Revenue Cycle Authorization
Builds
Insurance verification and prior authorization workflows for outpatient services
Domain
Healthcare / Revenue Cycle Management
Required skills
Team leadership, denial management, regulatory compliance, data trend analysis, process improvement, staff auditing, multi-departmental collaboration
Preferred skills
Bachelor's degree in Finance/Business, CHFP certification, EPIC system knowledge
Technologies
EPIC, UB-04, CPT, ICD9/10, DRGs
Responsibilities
Interview, hire, train, and manage performance of authorization specialists; communicate revenue risks to department directors; monitor productivity and timeliness of authorizations; audit staff work for quality and compliance; analyze denial metrics to drive process initiatives; oversee pre-certification requirements and front-end appeals; represent pre-authorization services in external meetings.
Seniority
Manager, supervisory level