Central Authorizations Manager - Hybrid

The Central Authorization Manager will oversee the day-to-day management of the authorizations department employees and will be responsible for making sure our standard operating procedures are being followed and adhered to. The Central Authorizations Manager will have employees based both in the central operations office as well as our clinical locations and will be responsible for all clinical authorizations processes outside of our rehab and specialty program service lines. This role requires a hybrid setup, and candidates are preferred to reside near one of our administrative offices or clinical sites in Oregon or California.

***This role requires a hybrid, and candidates are preferred to reside near one of our administrative offices or clinical sites in Oregon or California. ***

Key Responsibilities:

• Help design, implement, and manage authorization systems and workflows.
• Maintain and at times create standard operating procedure documentation to establish best practices for central authorization workflows.
• Maintain and refine staffing requirements for central authorization department.
• Work with HR to recruit, interview, and hire staff for central authorization positions.
• Assess overall department performance and identify opportunities for improvement.
• Work with the analytics department to establish KPI reporting.
• Refine and implement central authorization procedures and systems to maximize operating efficiency.
• Hands-on daily leadership and management of the central authorization staff.
• Report departmental productivity and metrics to VP of Central Operations.
• Manage and maintain day to day central authorization workload.
• Process timecards for central authorization staff.
• Facilitate onboarding and training for new central authorization staff.
• Provide central authorization staff with feedback, coaching, objectives, and performance improvement plans as needed.
• Monitor KPI reporting and feedback systems to measure departmental productivity and identify obstacles.
• Perform staff reviews and assessments.
• Lead weekly meetings for central authorization teams, communicating process and policy updates.
• Monitor central authorization task queues to ensure timely execution of standard operating procedures.

Qualifications:

EDUCATION:

• Bachelor's degree preferred or equivalent experience.
• Minimum of three (3) years’ experience in the medical field with working knowledge of office referrals and authorizations.
• Minimum of two (2) years of leadership/management experience leading teams required

Requirements:

• Self-motivated, enthusiastic, and detail-oriented individual with great organizational skills that can work well with deadlines.
• Knowledge of CPT Codes, ICD9 Codes and ICD-10
• Basic understanding of the benefits investigation process which includes deductible, out of pocket and benefit exclusions.
• Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Completes tasks on time or notifies appropriate person with an alternate plan. Is consistently at work and on time; Ensures work responsibilities are covered when absent.
• Focuses on solving conflict; Maintains confidentiality; Listens to others; Remains open to others' ideas and tries new things. Writes and communicates clearly and professionally.

Compensation Range:

$65,000 to $75,000 Annually

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.

WE OFFER (Full Time):

• Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
• 401(K) Plan with Employer Matching
• License & Tuition Reimbursements
• Paid Time Off
• Holiday Pay
• Employee Perks and Discount Programs
• Competitive Salaries!

ABOUT US:

Boomerang Healthcare is a leader in cutting-edge pain management techniques and rehabilitation programs that set the standard in holistic approaches for managing chronic pain. Our doctors are nationally known experts in the field and are deeply involved in clinical research focused on developing the treatment solutions of tomorrow.

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.