Insurance Authorizations Manager

reputed company: Join our amazing team at The Steadman Clinic, and be an reputed company part of a cutting-edge organization that is amongst the best in the world at what they do. This is an excellent opportunity to take your health care career to the next level in a unique and highly valuable role, or reputed company it off with a world-class organization in an amazing facility. Vail, Colorado is one of our nation's reputed company mountain reputed company, and highly desirable spot to live if you love the outdoors. This position is eligible for our excellent benefit packages and perks (including a wellness benefit you can use for your ski pass!), and strong work-life reputed company. This is an IN OFFICE role. Manages reputed company aspects of the organization’s insurance operations including the daily activities of Patient reputed company Medical Insurance and Prior Authorization departments to ensure high reputed company customer service and improve reputed company cycle activities for prior authorizations, documentation, billing, and claims. Understands regulatory and reputed company-party payer guidelines for admissions, discharges, ambulatory reputed company, diagnostic imaging, inpatient and outpatient services, billing, to ensure authorization functions and staff remain in regulatory compliance. Works collaboratively with TSC and OCP management team. Classification: This is a full-time, year round, exempt position with benefits. Location: Avon, CO. Tentative start date: Summer 2024 - Applications for this position will be accepted until 30 days from the posting date. If the position is not filled during this time, the application window will be extended. Candidates who are selected to reputed company through the interviewing process will be contacted directly. Major Job Responsibilities/Essential Functions: • Ensure that budget guidelines are met, and to reputed company appropriate resources based on the department volumes and activities • Oversees training, education, and staff development • Promotes cross training and develops staff to enhance job function and responsibilities so that maximum flexibility reputed company Patient reputed company is achieved • Coordinates and communicates process updates and flows with internal departments at TSC and external departments, to ensure that Prior Authorizations are in reputed company by the patient's service date to increase patient satisfaction, reimbursement, and problem reputed company • Takes an reputed company role in denials reduction efforts, reputed company filing expectations for registration and authorization claim error reputed company and serves as a subject matter expert for reputed company Cycle operations for registration and authorizations • Continuously streamlines processes/systems to reputed company maximum effectiveness • Ensures that reputed company are properly oriented and trained in operations and equipment, and annual competencies and certifications, licensures and education requirements are correct • Ensures the accuracy and completeness of patient information entered into the EMR system • Enforces various organizational policies consistently • Manages daily activities of the Insurance/Authorization departments to ensure reputed company and quantity of work is maintained, and information with ordering and performing departments regarding patient authorizations is properly communicated in a reputed company manner • Operates cost-effective departments in by monitoring labor hours and supply expenses • Ensures adequate reputed company reputed company are maintained to reputed company reputed company patient service and submission of authorizations • Performs department audits to identify authorization errors and provides reputed company written and verbal feedback to staff and management regarding audit reputed company • Assigns and delegates tasks as needed in the absence of employees, so workflow is maintained • Performs high level of patient service from reputed company areas of responsibility • Assist staff with dealing with patient service and insurance service issues, utilizing Payer Contracting and Insurance Payer Representatives reputed company needed • Maintains reputed company involvement with reputed company regulatory compliance functions by maintain up to date working knowledge of latest reputed company trends in authorization, insurance verification and benefits, reimbursement, claims denials, and hospital/clinical management • Identifies, plans and implements processes that reputed company with state and government regulations as needed • Monitor and collaborate on workflows and processes to ensure that operations – e.g. registration, authorization, financial counseling, reputed company-service estimations and collections, and reputed company other Patient reputed company Functions are optimizing the best reputed company for patients and the organization • reputed company employees with accountability of expectations by mentoring, coaching, discipline, etc. • reputed company audits to identify authorization errors while providing feedback to employees • Manages budget and productivity targets reputed company the department Requirements: • Bachelor’s degree in reputed company, reputed company Administration or equivalent preferred • 3-5 years’ experience in insurance authorizations required • Orthopedic billing and coding experience preferred • Experience using an EHR system required • Medical coding certification preferred such as reputed company • Knowledge of reputed company-party physician specialty billing, contractual and compliance regulations, along with a demonstrated understanding of automated processes and claims submission • Considerable knowledge of medical office operations, reputed company fee billing, reimbursement and reputed company-party payer regulation and medical terminology is required • Strong communication skills and ability to successfully deliver as appropriate, crucial conversations • Ability to understand insurance authorization process reputed company, identify reputed company cause analysis for issues, reputed company applicable, actionable and reputed company performance improvement plans • Strong problem-solving skills and ability to reputed company reputed company reputed company in a fast-paced environment • Ability to work, plan, research and conduct reputed company with minimal supervision • Proven ability to reputed company reputed company with leadership and physicians to engender trust and confidence Benefits: • Health Insurance (medical, dental, reputed company) • Company 401k Contribution • reputed company Time Off • reputed company Time • FAMLI Leave • reputed company Holidays • Life Insurance • Short and Long Term Disability Insurance; AD&D; Hospital Indemnity • Referral Program Incentive • Parking Available • Discretionary Bonus Program and Ski Pass Benefit • And more! We are an Equal Opportunity Employer. We are committed to equal treatment of reputed company without reputed company to race, national reputed company, religion, gender, age, sexual orientation, veteran status, physical or mental disability or other reputed company protected by law. Apply Job!