Prior Authorization Manager

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $65k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Autism Behavior Support

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🧘 Wellness

⚕️ Healthcare Insurance

Healthcare • Wellness • Healthcare Insurance

Autism Behavior Support is a company that provides Applied Behavior Analysis (ABA) therapy services, focusing on improving socially significant behaviors. Established in 2019, it offers high-quality therapy sessions for children and adults with Autism and other psychological disorders. The company operates in various locations including Central Texas, San Antonio, Colorado, and El Paso, and offers services in English and Spanish. Autism Behavior Support accepts private payment for non-insured clients and emphasizes parent support and adaptive skills development.

📋 Description

• Lead the daily operations of the Prior Authorization team • Lead, coach, and develop Prior Authorization Specialists • Provide performance feedback, mentorship, and accountability • Create and deliver onboarding and training programs • Monitor productivity, turnaround times, and key performance metrics • Design, implement, and optimize authorization workflows • Develop and maintain department policies, procedures, and process documentation • Implement reporting tools and dashboards • Conduct quality audits for accuracy, consistency, and compliance • Stay current on payer policies and communicate updates and best practices • Oversee complex authorization requests and resolve escalated payer issues • Ensure accurate documentation of patient eligibility, benefits, and authorization activity • Lead root cause analyses for recurring operational challenges • Maintain compliance with payer requirements, regulatory standards, and internal quality expectations • Partner with Clinical, Intake, Billing, Operations, and Center Leadership teams • Serve as the primary escalation point for payer-related questions and issues • Lead cross-functional initiatives improving patient and family experience and operational success

🎯 Requirements

• 5+ years of experience obtaining ABA therapy prior authorizations • 2+ years of leadership or management experience • Strong knowledge of insurance authorization processes and payer requirements • Excellent organizational and project management skills • Exceptional written and verbal communication abilities • Proven ability to solve complex problems and improve operational workflows • Experience coaching, mentoring, and developing high-performing teams • Proficiency with Microsoft Office or Google Workspace • Experience with prior authorization management platforms is preferred

🏖️ Benefits

• Competitive base salary • Performance-based raises twice per year • Medical, dental, and vision insurance • 401(k) with employer match • 100% employer-paid life insurance • Short-term disability insurance • 26 days of paid time off annually • Four weeks of paid parental leave • Relocation assistance available • Clear career pathways and leadership development opportunities