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Role Overview:

  • Leads enterprise authorization operations to protect revenue and improve patient access.
  • Manages insurance verification and pre-authorization services across complex healthcare settings.

Key Accountabilities:

  • Oversee team performance, workflow design, and compliance with payer and regulatory requirements.
  • Partner with billing, clinical, and revenue cycle teams to reduce preventable denials.
  • Use data to identify authorization and denial trends and drive process improvements.

Requirements:

  • Five years of healthcare accounts receivable and billing experience, plus two years in supervision.
  • Strong knowledge of Medicare, Medicaid, commercial plans, and coding concepts like CPT and ICD-10.
  • Excellent analytical, communication, and collaboration skills; Epic experience preferred.

Benefits:

  • Remote position in the United States with full-time schedule.
  • Professional development opportunities in healthcare revenue cycle management.
  • Mission-driven environment supporting patients and provider financial sustainability.

US Security & IT

The partner company is a healthcare organization focused on revenue protection, patient access, and reimbursement performance. They provide a collaborative and mission-driven environment for teams working across complex healthcare operations.

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