Manager, Prior Authorizations
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Job Description
Manager for Patient Access Services optimizing PreService Operations at Wellstar Health System with a focus on effectiveness and compliance. Coordinates staff and activities to enhance healthcare service delivery.
Responsibilities:
- Under the leadership of the PAS Director of PreService Operations, coordinates and controls the staff and activities to promote the highest level of effectiveness in meeting established goals and objectives
- Ensures adherence to policies and procedures, improvement in employee engagement, quality and excellence of work performed, world class customer service, and continual staff education
- Develops and monitors the departmental budget
- Holds staff accountable for meeting Key Performance Indicators including Prior Authorization completion rates for scheduled services, productivity, quality of work performed by direct reports, and monitoring initial denial trends
- Completes and coordinates employee performance reviews and annual evaluations
- Monitors absenteeism and ensure that counseling is consistently given for noncompliance with WellStar Health System policies and procedures
Requirements:
- Bachelor's Degree in business, healthcare or related field
- All certifications are required upon hire unless otherwise stated. CHAA - Cert Healthcare Access Assoc or CHAM - Cert Healthcare Access Mgr or CHFP - Cert Healthcare Financial Prof or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep
- Strong interpersonal, analytical, problem solving and writing skills
- Must be comfortable interacting with department Directors and Administrators and able to perform a wide variety of tasks that require independent judgement, ingenuity, and initiative
- Proficient with MS office
- Demonstrates professionalism, effective communication skills and active listening skills
Benefits:
- Competitive salary
- Health insurance
- Flexible working hours
- Paid time off
- Professional development opportunities
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