Manager, Benefit Verification & Authorization Operations
$80,000–$90,000 year
RemoteUnited States
Job Summary
Lead the Benefit Verification and Authorization teams, ensuring consistent execution across RCM clients while managing Team Leads and developing operational leaders. Direct daily operations to meet quality, productivity, and turnaround-time expectations, using data to identify performance gaps, resolve escalations, and implement corrective action plans. Own key metrics including verification accuracy, authorization approval rates, and backlog management, partnering with Billing, AR, and Product to reduce downstream denials and standardize workflows. Ensure patients have accurate benefit information and that missing or expiring authorizations are identified before impacting scheduled visits or reimbursement.
Required Qualifications
- 5+ years of experience in healthcare revenue cycle management, patient access, Benefit Verification, Prior Authorization, or related healthcare operations
- 2+ years of people management experience, preferably within healthcare operations
- Strong knowledge of insurance eligibility, benefits, prior authorization, and payer requirements
- Experience managing teams against productivity, quality, and turnaround-time expectations
- Strong analytical and problem-solving skills with the ability to identify root causes and implement solutions
- Demonstrated ability to manage complex operational and payer escalations
- Strong leadership, coaching, and performance management skills
- Experience improving and standardizing operational processes
- Experience with practice management systems, payer portals, healthcare technology platforms, and reporting tools
- Ability to operate independently and effectively manage competing priorities in a fast-paced environment
- Compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information
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