Manager of Prior Authorization

Job Summary

A company is looking for a Manager, Prior Authorization and Referrals Healthcare At Home.

Key Responsibilities

• Provide leadership and oversight of daily activities in prior authorization and referrals
• Ensure a smooth patient experience by managing insurance validation, referrals, and prior authorizations
• Monitor team performance and implement process improvements to minimize revenue leakage

Required Qualifications

• Bachelor's degree preferred in Healthcare Administration, Management, Finance, Business Administration, or related field
• Minimum of 2 years relevant healthcare experience, including registration and/or managed care referral experience
• Demonstrated competency in operational management within a complex organization
• Comprehensive knowledge of patient registration, health insurance practices, and industry standards
• Experience in personnel management and team development