SUPERVISED BY
Revenue Cycle Manager
QUALIFICATIONS
Results oriented and thrive in a fast-paced, high-energy environment.
Minimum five (5) years of medical authorization and collections experience required.
Prior supervisory or lead experience in a healthcare revenue cycle environment preferred.
Strong knowledge of insurance authorization requirements, payer guidelines, denial management, and revenue cycle processes.
Knowledge of medical terminology and ability to analyze claims and reimbursement trends.
Proficient in EHR systems, practice management software, Microsoft Office Suite, and reporting tools.
Excellent communication, organizational, time management, and problem-solving skills.
Ability to develop, coach, mentor, and hold staff accountable.
Ability to maintain confidentiality and exercise sound judgment.
Ability to identify trends, develop corrective action plans, and implement process improvements.
ESSENTIAL FUNCTIONS
Oversees daily operations of the authorization team and monitors productivity, quality, and accuracy.
Assists leadership in implementing and monitoring departmental policies and procedures.
Participates in performance evaluations, coaching, corrective actions, and staff development.
Keeps informed of payer regulations, requirements, state laws, and industry changes.
Identifies payer trends and implements corrective actions or escalates concerns.
Ensures authorizations are obtained and documented accurately and timely.
Monitors departmental metrics including denial rates, authorization turnaround times, accounts receivable performance, and clean claim percentages.
Leads process improvement initiatives to increase efficiency and improve reimbursement outcomes.
Ensures compliance with HIPAA, organizational policies, and applicable regulations.
Conducts team huddles and staff training.
Reviews and approves employee timecards and attendance records.
Participates in hiring, onboarding, scheduling, and workforce planning as assigned.
Exercises independent judgment and discretion in supervising staff and resolving operational issues.
Performs other duties as assigned.
PHYSICAL DEMANDS
Frequently remains seated for extended periods while working at a computer workstation.
Frequently uses hands and fingers for keyboarding, data entry, and operating office equipment.
Frequently communicates verbally and in writing with staff, patients, payers, and leadership.
Occasionally stands, walks, bends, reaches, and moves throughout the office.
Visual acuity sufficient to review electronic records, reports, and correspondence.
Ability to lift, carry, push, or pull up to 15 pounds occasionally.
Ability to maintain concentration and attention to detail for extended periods.
MENTAL DEMANDS
Ability to analyze complex information and make sound decisions.
Ability to prioritize multiple assignments and meet deadlines.
Ability to maintain confidentiality and handle sensitive information.
Ability to coach employees and manage performance-related matters.
Ability to adapt to changing priorities, regulations, and payer requirements.
Ability to maintain professionalism during stressful or high-volume situations.
Ability to perform detailed work requiring accuracy and sustained concentration.
ENVIRONMENTAL/WORKING CONDITIONS
Work is primarily performed in a busy office environment with frequent computer and telephone use.
Frequent interaction with staff, leadership, providers, patients, and insurance representatives.
May experience competing priorities, interruptions, and time-sensitive deadlines.
May be required to work additional hours, evenings, weekends, or special projects as business needs dictate.
Benefits
Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Surgery Partners conducts pre-employment screenings including but not limited to criminal background checks and drug testing.
