Patient Access Manager

** - **Leadership and Team Management:** - Lead, train, and mentor a team of prior authorization specialists. - Manage daily workflow, delegate tasks, and ensure productivity goals are met. - Conduct performance reviews, provide feedback, and identify opportunities for development. - **Operational Oversight:** - Oversee the end-to-end prior authorization process for all services. - Develop and implement SOPs to streamline workflows and improve efficiency. - Monitor KPIs such as approval rates, turnaround times, and denial trends. - **Compliance and Quality Assurance:** - Ensure all prior authorization activities comply with regulations. - Conduct regular audits to maintain accuracy and quality. - Stay updated with payer policies, medical criteria, and coding guidelines. - **Communication and Collaboration:** - Act as the main contact for clinical staff and providers regarding prior authorization. - Collaborate with billing, coding, and patient financial services to resolve issues. - Communicate with insurance companies to appeal denied authorizations. **Desired Candidate:** - Minimum 15 years experience in prior authorization, medical billing, or revenue cycle management. - At least 5 years experience in a leadership role. - In-depth knowledge of prior authorization processes and insurance policies. - Experience with EHR systems, prior authorization software, and Microsoft Office. - Familiarity with HIPAA regulations and healthcare compliance standards. - Strong leadership, communication, and analytical skills with the ability to resolve complex issues effectively. If you meet the qualifications and are interested in this role, please share your resumes at [HIDDEN TEXT].