Prior Authorization Manager Dermatology
Prior Authorization Manager Dermatology
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Join Our Team at Skin and Cancer Institute!
Are you passionate about dermatology and skin health Do you thrive in a dynamic patientfocused environment Skin and Cancer Institute is looking for dedicated professionals to join our team!
SUMMARY OF POSITION
This position manages and oversees the overall policies objectives and initiatives of an organizations revenue cycle activities to optimize the patient financial interaction along the care continuum. The Prior Authorization Manager partners with patients and providers regarding authorization requests and updates to patient records oversees prior authorization department including extended department vendors and implements best practices to maximize Revenue all with a focus on process communication and team effort
ESSENTIAL DUTIES
- Maintain current knowledge of insurance policies regulations and requirements to ensure compliance with industry standards.
- Leads business process improvement efforts in collaboration with clinical operational growth and IT counterparts to develop automated repeatable processes and systems to optimize revenue collection.
- Interview/train/and review departmental staff.
- Reports essential KPIs to senior leadership to ensure departmental goals are being met.
- Direct oversight of internal and extended department ensuring workflows and processes are being completed accurately and efficiently.
- Review patient medical records and insurance information to determine which services require authorization.
- Coordinate with healthcare providers and insurance companies to obtain preauthorization for medical procedures treatments and medications.
- Independently identifies and pursues revenue improvement opportunities through process improvement and data management.
- Communicate with patients and healthcare providers regarding the status of authorization requests and any changes in coverage.
- Participates in the development of coding and billing strategies evaluating processes related to Revenue Cycle and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA Medicaid Medicare and specific 3rd Party Payors).
- Maintains professional relationships and collaborates across teams managing projects facilitating meetings and presenting in various settings including senior leadership.
- Prepares and coordinates revenue cycle responsibilities within the acquisition/implementation process.
- This includes but is not limited to staff onboarding vendor management and clearinghouse management.
SKILLS/QUALIFICATIONS/EXPERIENCE
- 4 years experience in Prior Authorization processes in a business office/remote setting.
- 3 years experience in a Prior Authorization leadership role.
- Bachelors degree in related field preferred but not .
- Must have a high school diploma or equivalent certificate.
- Demonstrate an understanding of healthcare management including staffing and leadership.
- Demonstrate an understanding of patient accounts.
- Ability to educate patients on explanation of benefits for insurance processed claims.
- Communicate effectively with healthcare workers patients and insurance companies.
- Able to prioritize and organize tasks at hand.
- Strongattention to detail positive attitude and a proven ability to lead a team to success.
- Proficient in Microsoft Word Outlook and Excel.
- Knowledge of state regulations.
- Presentation skills are desirable.
- Must have excellent written and verbal communication skills.
- Able to work with a diverse group of people.
- Must be able to work in a fastpaced office environment.
- Other duties as assigned.
POSITION REQUIREMENTS
To perform effectively in this position the incumbent must have:
- Bachelors degree in related field is highly preferred.
- 5 years of related experience required.
- Proficiency in Microsoft Office with advanced Excel skills.
- Experience with Intacct ConnectWise Ubersmith System Integration and M&A a plus.
- Strong communication skills written and verbal.
- Ability to work independently and manage time appropriately.
Apply Today!Be a part of a dynamic team thats transforming skin health. Submit your resume and cover letter to We cant wait to meet you!
#HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring
Required Experience:
Manager
Employment Type
Full Time
