RCM Auth Manager

Metro Vein Centers•West Bloomfield, MI

12h•Hybrid

About The Position

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 60 clinics across 7 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry. Reporting to the RCM Director of Patient Access Services, the RCM Authorization Manager serves as a key operational leader responsible for overseeing and optimizing the daily functions of the Authorization Department. This role manages all pre-determination, prior authorization, and medical necessity workflows across the revenue cycle to ensure timely approvals, reduce denials, and safeguard reimbursement. The Manager leads state-based authorization teams, collaborates closely with clinical and operational stakeholders, and drives standardization, performance improvement, and compliance across all payers and service lines. The ideal candidate is highly analytical and operationally strong, with deep front-end revenue cycle expertise and a demonstrated ability to reduce authorization-related denials and revenue leakage.

Requirements

5+ years of progressive experience in Revenue Cycle or Patient Access.
3+ years of leadership experience managing authorization or front-end RCM teams.
Deep knowledge of:
Prior authorizations
Medical necessity requirements
Payer rules (commercial, Medicare, Medicaid)
Authorization-related denials
Familiarity with EHR/RCM systems and payor portals.
Strong organizational and leadership skills with a proven ability to manage hybrid teams effectively.
Excel and dashboard/reporting experience preferred
High School Diploma or equivalent (GED)

Nice To Haves

Experience with Athena Practice
Excel and dashboard/reporting experience preferred

Responsibilities

Lead and manage daily prior authorization operations across all locations.
Ensure authorizations are obtained accurately and timely prior to date of service.
Oversee workload distribution and productivity; Track and mitigate revenue at risk due to missing, delayed, or incorrect authorizations.
Conduct regular performance evaluations and provide constructive feedback to support employee growth while growing a culture of accountability.
Hire, train, coach, and develop authorization supervisors and authorization staff.
Identify and resolve operational bottlenecks, escalating issues and proposing solutions to the Director when necessary.
Partner with Denials Management/Appeals, and Coding teams to identify root causes and implement corrective actions.
Develop and track key performance indicators (KPIs) to measure departmental success and identify areas for improvement.
Ensure departmental compliance with federal, state, and local regulations, including HIPAA.
Maintain up-to-date payer authorization rules, policies, and plan requirements and create policy update communications to the clinical staff.
Prepare and present performance reports to senior leadership, highlighting trends, challenges, and actionable insights.