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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.