Authorization Manager

Company Intro

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!

Overview

This position manages the Authorization Specialist and performs the job duties as a working manager when needed. 

Responsibilities

MAIN: 

• Manage and sometimes performs the daily job duties of subordinate positions when needed.
• Manage the day to day operations of the authorization and insurance verification team.
• Oversee and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership.
• Maintains positive leadership and gives frequent performance feedback to subordinates and invites two-way communication.
• Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.
• Monitor and manage key performance indicators and data for department, and provide reporting and action plans for improvement.
• Act as primary liaison for all insurance verification and authorization matters for organization.
• Oversees the hiring, training, and supervision of department staff. Ensures that department.policies are fairly administered by overseeing corrective action process, employee training, mentoring and coaching employees and supervisors as well as completing performance reviews.
• Prioritize work to maximize turn-around time.
• Ensures staff are calculating accurate quotes for patient surgery benefits.
• Processes request for prior authorization from clinics and care team
• Performs training with organizational staff on procedures for requesting, documenting and processing prior authorizations.
• Answers and respond to external and internal phone calls in a timely manner.
• Checks and respond to emails in a timely and professional manner.
• Maintains a high level of customer service and professionalism with operations, working to establish a positive rapport with the clinics.
• Communicates performance data and action plans to leadership.
• Performs all other assigned duties.

GENERAL DUTIES: 

• Conducts self in accordance with the company’s standard values and policies. 
• Participates in a variety of educational programs, corporate and professional to maintain current skill and competency levels.

 The Essential Job Functions and Duties and Responsibilities listed above are not exhaustive. The job functions and duties of this job may vary depending upon the specific nature and needs of the department, including size, location and services offered. At some locations, employees may not perform all of the job functions or duties listed above. At other locations, employees may perform some or all of the job functions or duties listed above and, in addition, may be required to perform other job functions or duties as directed. In addition, given the nature of its business, MMRG retains the right to modify the essential job functions and duties of this position at any time.  METHOD AND FREQUENCY OF SUPERVISION:  Monthly meetings with senior leadership. Formal supervision with employee through an open- door policy. Expected to help and guide employees by answering questions and providing direction.     

Qualifications

Education: • High School diploma or equivalent  Prior Experience:  • 5 years medical authorization experience or related billing experience • Ophthalmology background desired • 3 years or more in a leadership role preferred  Skills and Proficiencies:  • Manger or above level leadership experience for medium to large team in healthcare setting. • The ability to motivate and lead a team • Experience in revenue cycle management. • Active knowledge of CMS guidelines contracted insurance guidelines and coding policies • Demonstrated computer literacy • Well-organized with attention to detail • Ability to read and understand oral and written instructions • Excellent math skills • Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients. • Professional customer service skills • Have a desire and dedication to work with self-discipline. • Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.  Physical Abilities: • Ability to sit for long periods. Work requires walking, bending, standing, sitting, and reaching. 

Benefits & Perks

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!