Manager – Front-End Revenue Cycle

Posted 1ds ago

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Job Description

Manager overseeing front-end revenue cycle for ABA therapy services at AnswersNow. Leading authorization team to secure and maintain payer approvals.

Responsibilities:

  • Lead all front-end operations, including registration, benefits verification, medical documentation, and prior authorization
  • Analyze root causes of rejections and edits to implement corrective actions and minimize denials
  • Monitor key performance indicators (KPIs) such as clean claim rates, insurance verification accuracy, and charge lag
  • Provide regular executive-level updates on credentialing performance, priorities, and operational risks
  • Hire, train, and manage staff productivity, providing coaching to ensure compliance with HIPAA and payer policies
  • Collaborate with clinical, back-end RCM, and billing teams to improve cash flow and revenue acceleration
  • Develop SOPs and implement new IT systems to improve process efficiency

Requirements:

  • 3–5+ years of healthcare revenue cycle experience, specifically with front-end workflows (scheduling, verification, authorization)
  • Strong preference for proficiency in care management and RCM platforms (i.e. prior auth portals, EMRs, billing platforms)
  • Comprehensive understanding of medical billing, coding (ICD-10, CPT), and payer rules
  • Strong preference for Applied Behavior Analysis (ABA) Prior Auth experience
  • Proficient in using data, dashboards, and reporting tools to identify trends and process gaps
  • Proficiency with Google Suite (e.g., Docs, Sheets, Drive, Forms, Slides) required
  • Demonstrated experience leading teams in a high-volume, fast-paced environment
  • Strong administrative, interpersonal, verbal and written communication skills

Benefits:

  • Medical, Dental, and Vision Insurance
  • Flexible time off with an async-friendly team culture
  • Opportunity to work with modern tools and shape foundational systems