Authorization Manager

Imaging Healthcare Specialists is actively seeking experienced and professional Authorizations Manager!

Locations with Position Openings: Remote outside California

Position Status Options: Full Time

Salary: $77,000 to $90,000

Offering over 30 years of imaging services experience, Imaging Healthcare Specialists has earned an outstanding reputation for providing the highest quality medical imaging technology, highly specialized expertise and exceptional customer service to physicians and patients. Our experienced staff of board-certified radiologists, technologists and support personnel are committed to providing the most accurate, safe, timely and caring medical imaging and interventional radiology services.

Summary: The Authorizations Manager is responsible for ensuring excellent patient care through effective leadership and management techniques. The Authorizations Manager will effectively own the business and lead a team of Authorization representatives while upholding the company’s mission. The Authorizations Manager is responsible for the development of revenue and volumes by securing payment for services through verification of authorizations, eligibility, benefits and identifying the patient’s financial risk in advance of patient’s appointment consistent with established protocols.

Essential Responsibilities include the following. Other duties may be assigned.

• Exercises discretion and independent judgement to manage prior authorizations requests for all sites and ensure that they are properly and closely monitored and secured in a timely fashion.
• Exercises discretion and independent judgement to manage the validation and accurate calculation of patient coverage and payments due prior to patient appointments according to department guidelines.
• Train authorizations representatives how to initiate prior Authorization request to carriers and/or primary care physicians.
• Manage and maintain proper notation in practice management system such as patient coverage, benefits, and eligibility results.
• Ability to meet minimum daily and monthly productivity and performance metrics.
• Analyze patients' abilities to pay to determine charges on a sliding scale.
• Be a subject matter expert for Authorization Representatives for problem solving.
• Drive volume by securing reimbursement for pre and post services rendered through various insurance verification processes.
• Communicates effectively to internal and external inquiries relating to insurance, benefits, or authorizations.
• Drive business results and increase patient satisfaction through active performance management of staff to ensure consistent achievement of patient care and operational goals based on key performance indicators and metrics.
• Effectively manages employee performance by consistently providing constructive feedback, taking a collaborative approach to employee development, and administering necessary training including evaluations and performance improvement plans. Hold team accountable and ensure the company’s policies, procedures and performance standards are met.
• Communicate, document, implement, and reinforce organizational goals, policies, values, initiatives, and workflow in a way that ensures the team understands their contribution and accountability to the success of the organization.
• Manage and analyze daily/weekly/monthly operational statistics related to patient volume, modality volume, front desk productivity, TOS/Billing accuracy.
• Identify methods to continuously improve internal processes and increase patient satisfaction efficiently with employee engagement.
• Take an active part in listening to the voice of the customer by periodically making waiting room rounds.
• Ensuring all staff on site is compliant with company policies, procedures, state, and federal regulations.
• Manage labor audits and review staff scheduling to maximize efficiency.

Education and/or Experience - Associate's degree (A.A.) or equivalent from two-year college or technical school; and a minimum of five years of related experience and leadership experience.

Why Should You Work For IHS?

• Career Development and Growth Opportunities
• Lean Development (Enterprise Excellence)
• Leadership Growth and Development Training
• 4 Weeks of PTO for part time and full-time team members
• Yearly Compensation Reviews
• Medical, Dental, Vison, HSA Contribution and 401k matching
• Community Involvement

Our company is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.

Job Type: Full-time

Pay: $70,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Ability to Relocate:

• Remote: Relocate before starting work (Required)

Work Location: Remote