Rheumatology Administrative Manager

OrthoAlaska•Anchorage, AK

1d•Onsite

About The Position

The Rheumatology Administrative Manager is responsible for overseeing and optimizing all non-clinical operations within the Rheumatology department. This role provides strategic and operational leadership across precertification, scheduling, referrals, Infusion billing, collections, and patient flow, ensuring efficient processes, regulatory compliance, and a high-quality patient experience. This position partners closely with the Director of Rheumatology to support departmental growth initiatives, financial performance, and operational scalability. The Manager directly supervises a multidisciplinary administrative team and serves as the central point of accountability for non-clinical performance within Rheumatology.

Requirements

Bachelor’s degree in healthcare administration, business, or a related field or equivalent healthcare leadership experience.
Demonstrated experience in medical billing, revenue cycle, or healthcare operations.
Prior supervisory or management experience in a healthcare setting.
Strong understanding of prior authorization, referrals, scheduling, and payer processes.
Proven ability to lead teams, manage competing priorities, and implement process improvements.

Nice To Haves

Experience in Rheumatology, specialty practices, or infusion services.
Familiarity with payer contracting concepts, denial management, and reimbursement trends.
Experience working with EHR and practice management systems.

Responsibilities

Provide day-to-day leadership and oversight of all non-clinical Rheumatology operations, including: Precertification and prior authorization workflows, Scheduling and access management, Referral intake and tracking, Infusion Billing, coding coordination, and charge entry processes, Infusion Collections, denial management, and payer follow-up, Patient flow and administrative support functions.
Ensure workflows are efficient, standardized, and aligned with organizational and payer requirements.
Identify operational gaps and implement process improvements to enhance productivity, accuracy, and patient experience.
Oversee Rheumatology infusion billing and collections activities, ensuring timely and accurate charge capture and reimbursement.
Partner with internal billing teams and leadership to manage denials, trends, and payer-related challenges.
Monitor key performance indicators (KPIs) related to billing, collections, and revenue cycle performance.
Support reconciliation of contracted rates and assist with payer issue escalation as needed.
Ensure compliance with regulatory, payer, and organizational billing standards.
Directly supervise and support a team of non-clinical Rheumatology staff, including scheduling, precertification, referral, and billing support personnel.
Provide coaching, training, performance feedback, and professional development for team members.
Foster a collaborative, accountable, and patient-centered team culture.
Assist with hiring, onboarding, and retention of administrative staff.
Oversee scheduling and referral workflows to ensure timely patient access to Rheumatology services.
Monitor patient flow and administrative touchpoints to minimize delays and barriers to care.
Address operational issues impacting patient satisfaction and access.
Collaborate closely with the Director of Rheumatology on departmental growth initiatives, including: Volume expansion, Service line development, Staffing and operational scalability.
Provide operational insight and data to support strategic planning and decision-making.
Assist with the implementation of new workflows, services, or payer requirements related to Rheumatology and infusion services.
Ensure department adherence to organizational policies, payer requirements, and regulatory standards.
Support audits, reporting, and documentation related to billing and administrative processes.