Revenue Cycle Authorization Manager

Overview

Expand Access. Ensure Coverage. Transform Outcomes.

 

We are seeking a strategic and results-driven Revenue Cycle Authorization Manager to lead a 15-member team responsible for timely and accurate patient eligibility verification and authorization for all referrals. Reporting to the Director of Authorization, you will design and enforce policies, drive process improvements, and manage performance metrics to streamline authorization workflows across Medicare, Medicaid, managed care, commercial insurance, and self-pay channels.

 

Responsibilities

• Lead and mentor a team of 15+ authorization specialists to meet productivity, accuracy, and compliance targets
• Oversee verification of medical records and documentation to secure authorizations before billing
• Collaborate with field staff to obtain necessary clinical and demographic information for clean claims
• Partner with Revenue Cycle and Billing leadership to maintain adherence to federal, state, NHPCO, and ACHC regulations
• Develop, implement, and update authorization policies and procedures; ensure team compliance
• Analyze performance data and prepare department reports on authorization volume, turnaround times, and denial rates
• Drive continuous improvement initiatives to optimize authorization processes and reduce denials
• Manage escalations related to field operations and customer service inquiries
• Support system implementations during acquisitions and lead change management for new billing platforms
• Coordinate cross-departmental collaboration with Sales, Operations, and IT for authorization-related projects
• Conduct hiring, onboarding, training, coaching, and performance reviews for direct reports
• Allocate workloads and monitor productivity to maintain consistent quality and turnaround

About You

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or related field; OR four years of management experience in ambulatory, hospital, home health, or hospice settings
• Minimum two years of leadership experience in home health or hospice authorization or billing operations
• Strong knowledge of payer requirements, authorization workflows, and revenue cycle best practices
• Proven ability to design and implement policies, SOPs, and training programs
• Demonstrated success in using metrics to drive team performance and process improvements
• Excellent problem-solving, organizational, and communication skills
• Comfortable managing confidential information and multiple projects in a fast-paced environment
• Proficiency with Microsoft Office (Excel, Word, PowerPoint) and familiarity with HomeCare HomeBase preferred

We Offer

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

 

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

 

Apply today to advance access, streamline authorization processes, and shape the future of patient care.

Legalese

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace

Our Company

 

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

 

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

 

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

 

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.