Home Healthcare Insurance Authorization Manager
About The Position
Become a part of our caring community and help us put health first As the Authorizations Manager , you will: Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss. Ensure that maintenance strategies are within stated objectives. Interpret to customers and field personnel Company policies/practices/procedures related to billing processes and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable. Manage the analyses/report preparation of trends. Report information to appropriate line management. Assume responsibilities of Director, as assigned, during Director's absence. Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints. Develop department tools and training programs, along with the Training Specialist, to encourage growth and development. Analyze/monitors their implementation. Use your skills to make an impact
Requirements
- Bachelor's Degree preferred
- A minimum of five years healthcare related authorization experience
- At least three years in a management role generally required
- Strong knowledge of accounts receivables procedures and general accounting principles preferred
- Excellent organizational and verbal/written communication skills
- To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Responsibilities
- Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss.
- Ensure that maintenance strategies are within stated objectives.
- Interpret to customers and field personnel Company policies/practices/procedures related to billing processes and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable.
- Manage the analyses/report preparation of trends.
- Report information to appropriate line management.
- Assume responsibilities of Director, as assigned, during Director's absence.
- Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints.
- Develop department tools and training programs, along with the Training Specialist, to encourage growth and development.
- Analyze/monitors their implementation.
Benefits
- Health benefits effective day 1
- Paid time off, holidays, and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
