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Manager, Insurance Authorizations

Manager, Insurance Authorizations

Job Locations 
Employment Type 
Regular Full-Time
Position Schedule 

More information about this job

Position Summary

The Assistant Manager of Referrals & Pre-certs will be based in our Charlotte, NC location. The successful candidate will oversee the processing and completion of high volume of referrals and pre-certifications for multiple medical specialties while maintaining high standards for exceptional customer service. Work Hours: Mon-Fri 8am-5pm.

Essential Job Functions & Responsibilities

The incumbent will be responsible for the following:

  • Plan and supervise the daily operation of Referrals and Precerts department.
  • Work with Manager to implement customer-focused service goals and objectives.
  • Provide input regarding ongoing analysis of workflow and processes to leverage emerging software functionality and maximize staff efficiency.
  • Oversee the training and orientation of new staff. Write and deliver staff performance appraisals and disciplinary actions for assigned personnel.
  • Meet and maintain department performance metrics.
  • Identify issue/obstacles to customer service (both internal and external) as they emerge through feedback from sources such as: other internal departments, patients, senior management and reports. Be able to work independently.
  • Support staff with difficult cases that arise on a daily basis. Maintain ongoing and continual feedback with staff members to identify and remove barriers to success and create useful systems based on their input.
  • Assume payroll duties, including completing electronic time sheets, keeping track of time off requests.
  • Assist Sr. Manager of Eligibility Referrals and Pre-certs with different managerial functions. Maintain department checklist up to date.

Required Qualifications

Required education:

  • Bachelor's

Required experience:

  • Prior work with one or all of the following: Preauthorization, Benefit Verification, Eligibility, Surgical Booking, Physician Practice Management: 3 years
  • Management: 3 years
  • Healthcare: Physician Practices preferred: 3 years