Authorization Manager
On-sitePhoenix, Arizona, United States
Job Summary
Manage the day-to-day operations of the authorization and insurance verification team, overseeing productivity metrics and performance for assigned employees. Prioritize work to maximize turn-around time while processing prior authorization requests from clinics and care teams. Act as the primary liaison for all insurance verification matters, ensuring staff calculate accurate quotes for patient surgery benefits. Coach established employees, conduct performance reviews, and administer corrective actions to maintain department policies. Answer and respond to external and internal phone calls and emails in a timely manner, maintaining high customer service standards with operations and clinics. Communicate performance data and action plans to senior leadership during monthly meetings.
Required Qualifications
- High School diploma or equivalent
- 5 years medical authorization experience or related billing experience
- Manager or above level leadership experience for medium to large team in healthcare setting
- Experience in revenue cycle management
- Active knowledge of CMS guidelines contracted insurance guidelines and coding policies
- Demonstrated computer literacy
- Well-organized with attention to detail
- Ability to read and understand oral and written instructions
- Excellent math skills
- Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
- Professional customer service skills
- Have a desire and dedication to work with self-discipline
- Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations
- Ability to sit for long periods
- Work requires walking, bending, standing, sitting, and reaching
Desired Qualifications
- Ophthalmology background
- 3 years or more in a leadership role
- Ability to motivate and lead a team
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.