Manager, Prior Authorizations

The Prior Authorization Manager will effectively lead the Prior Authorization functional area within billing, collection or accounts receivable management, maintaining a full understanding of the billing information system. Manages the activities of staff through daily supervision while overseeing designated functional areas across the revenue cycle department including, but not limited to, billing and pre-certification. Assists with implementing strategic goals by deploying internal and external staff. Responsible for managing a large remote team of Prior Authorization Specialists and ensuring they meet production metrics and KPIs. Assists with feedback for hiring, discipline and performance evaluations. Provides department orientation and ongoing training for all in/direct reports. Acts as a liaison with internal departments to promote ongoing communication, and collaboration on cross functional projects related to prior authorization. Analyzes prior authorization outcomes from all sources, including carrier reimbursement exception reporting and follow up pending prior authorization analysis and denials management. Represent organizational projects and assist management with follow-through and implementation of initiatives. Manage all aspects of the prior authorization department including the timely, accurate submission and collection of all patient and customer accounts.