Metro Vein Centers · 4 days ago
RCM Auth Manager
West Bloomfield, MI
Full-time
Hybrid
Senior Level
5+ years expMetro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. The RCM Authorization Manager is responsible for overseeing and optimizing the daily functions of the Authorization Department, managing workflows to ensure timely approvals and reduce denials, while collaborating with clinical and operational stakeholders.
Health CareHospitalMedicalWellness
Responsibilities
Lead and manage daily prior authorization operations across all locations
Ensure authorizations are obtained accurately and timely prior to date of service
Oversee workload distribution and productivity; Track and mitigate revenue at risk due to missing, delayed, or incorrect authorizations
Conduct regular performance evaluations and provide constructive feedback to support employee growth while growing a culture of accountability
Hire, train, coach, and develop authorization supervisors and authorization staff
Identify and resolve operational bottlenecks, escalating issues and proposing solutions to the Director when necessary
Partner with Denials Management/Appeals, and Coding teams to identify root causes and implement corrective actions
Develop and track key performance indicators (KPIs) to measure departmental success and identify areas for improvement
Ensure departmental compliance with federal, state, and local regulations, including HIPAA
Maintain up-to-date payer authorization rules, policies, and plan requirements and create policy update communications to the clinical staff
Prepare and present performance reports to senior leadership, highlighting trends, challenges, and actionable insights
Qualification
Required
5+ years of progressive experience in Revenue Cycle or Patient Access
3+ years of leadership experience managing authorization or front-end RCM teams
Deep knowledge of prior authorizations
Deep knowledge of medical necessity requirements
Deep knowledge of payer rules (commercial, Medicare, Medicaid)
Deep knowledge of authorization-related denials
Familiarity with EHR/RCM systems and payor portals
Strong organizational and leadership skills with a proven ability to manage hybrid teams effectively
High School Diploma or equivalent (GED)
Preferred
Experience with Athena Practice
Excel and dashboard/reporting experience preferred
Company
Metro Vein Centers
Metro Vein Centers offers varicose vein treatment that includes vascular surgery, radiofrequency ablation and laser treatment services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
D
Dmitri Ivanov
Executive Chairman
Recent News
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