Manager, Benefit Verification & Authorization Operations
Responsibilities
- Lead the Benefit Verification and Authorization functions to meet quality, productivity, and turnaround-time expectations
- Directly manage and develop Benefit Verification and Authorization Team Leads
- Own key performance metrics and SLAs, including verification accuracy and authorization approval rates
- Monitor performance gaps, payer trends, and operational risks using reporting and dashboards
- Serve as the management-level escalation point for complex payer, client, and workflow issues
- Partner with Billing, AR, and other RCM teams to reduce downstream denials
- Identify opportunities for process automation and system improvements
- Maintain clear SOPs, payer resources, and workflow documentation
Requirements
- 5+ years of experience in healthcare revenue cycle management, patient access, Benefit Verification, or Prior Authorization
- 2+ years of people management experience in healthcare operations
- Strong knowledge of insurance eligibility, benefits, and payer requirements
- Experience managing teams against productivity and quality metrics
- Strong analytical and problem-solving skills
- Experience with practice management systems, payer portals, and healthcare technology platforms
- Ability to comply with HIPAA regulations regarding patient health information
About the Company
Prompt provides revenue cycle management (RCM) services to healthcare clients, focusing on optimizing patient access and preventing reimbursement issues.
