Revenue Cycle Manager - Authorizations
About The Position
Vital Care is seeking a Revenue Cycle Manager - Authorizations to join their team. This role is responsible for managing the reimbursement activities of multiple infusion and specialty pharmacy business units, with a focus on referral intake, authorizations, billing, and collections. The position involves cultivating an environment of outstanding customer service and developing a highly effective team to ensure timely and successful reimbursement from payers, all while maintaining regulatory compliance. Vital Care is recognized as a "Best Place to Work Modern Healthcare" and is committed to an inclusive, growth-focused environment.
Requirements
- Minimum 3-5 years of home infusion therapy experience required.
- Minimum 5 years of Management experience.
- Bachelor’s degree or equivalent work experience preferred.
Responsibilities
- Manage multiple teams in processing new patient referrals, insurance benefit investigation, prior authorizations, billing, and collections.
- Manage resource allocations to meet KPIs, track workload distribution, and conduct ongoing needs assessments to identify staffing opportunities.
- Maintain a high degree of focus on meeting and exceeding financial and department metrics.
- Conduct 1:1 coaching and mentoring with Supervisors to create a highly effective Team, including annual performance reviews and providing counseling when required.
- Monitor payroll for accuracy to ensure proper processing.
- Serve as escalation agent for supervisors and team to resolve complaints from franchise partners or patients.
- Create, implement, communicate, and maintain Standard Operating Procedures covering functional areas of responsibilities.
- Cultivate an environment of customer service through training, feedback, and staff mentoring.
- Audit transactions processed by the team to ensure accuracy and compliance with policies and procedures to identify training opportunities.
- Interview and select staff to meet business requirements and create a highly effective Team.
- Perform other related duties as assigned.
Benefits
- Comprehensive medical, dental, and vision plans
- Flexible spending accounts
- Health savings accounts
- Paid time off
- Personal days
- Company-paid holidays
- Paid Paternal Leave
- Volunteerism Days off
- Company-sponsored basic life insurance
- Long-term disability insurance
- Employee-paid voluntary life insurance
- Employee-paid accident insurance
- Employee-paid critical illness insurance
- Employee-paid short-term disability insurance
- 401(k) matching
- Tuition reimbursement
- Employee assistance programs (mental health, financial, and legal)
- Rewards programs offered by medical carrier
- Professional development and growth opportunities
- Employee Referral Program
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
