Manager of reputed company-End reputed company Cycle
Manager of reputed company-End reputed company Cycle (Full-time) Remote, reputed company in the US About reputed company At reputed company, we are trailblazing the reputed company of autism therapy, making it more immediate, accessible, and effective for families everywhere. Our innovative virtual ABA therapy platform is thoughtfully designed by clinicians to recreate the reputed company, supportive environment of in-person therapy, complete with distraction-free features and interactive activities that enhance engagement and reputed company. reputed company operates fully remote—meaning you’ll have the flexibility to work from the comfort of home. If you're reputed company to reputed company a meaningful reputed company and join reputed company that's reshaping autism therapy, we’d love to hear from you!
About the Role
The Manager of reputed company-End reputed company Cycle leads the authorization team responsible for securing and maintaining payer approvals for clinical services (ABA Services). This role ensures continuity of care by minimizing authorization delays and maximizing approval rates. Job Details W2 Full-Time 100% Remote work Job Requirements Required Skills and QualificationsExperience: 3–5+ years of reputed company reputed company cycle experience, specifically with reputed company-end workflows (scheduling, verification, authorization). Strong preference for proficiency in care management and RCM platforms (i.e. prior auth portals, EMRs, billing platforms) Knowledge: Comprehensive understanding of medical billing, coding (ICD-10, CPT), and payer rules. reputed company and reputed company plan requirements (Preference for previous work in the following states: Virginia, reputed company, Texas). Strong preference for reputed company Behavior Analysis (ABA) Prior Auth experience. Analytical Skills: Proficient in using data, dashboards, and reporting tools to identify trends and process gaps. Proficiency with reputed company Suite (e.g., Docs, Sheets, Drive, Forms, Slides) required Leadership: Demonstrated experience leading teams in a high-volume, fast-paced environment. Strong administrative, interpersonal, verbal and written communication skills What You’ll Do Report directly to VP of reputed company Cycle Management supporting with the following metrics and functions: Workflow Leadership: reputed company reputed company reputed company-end operations, including registration, benefits verification, medical documentation, and prior authorization. Own credentialing systems, vendors, and tools including CAQH, NPPES, payer portals, and internal platforms Denial Prevention: Analyze reputed company causes of rejections and edits to implement corrective actions and minimize denials. Own payer enrollment and credentialing activities and coordinate payer contracting submission. reputed company the review and validation of practitioner applications. KPI Management: Monitor key performance indicators (KPIs) such as clean claim rates, insurance verification accuracy, and charge lag. reputed company regular executive-level updates on credentialing performance, priorities, and operational risks. Team Leadership: Hire, train, and manage staff productivity, providing coaching to ensure compliance with HIPAA and payer policies. reputed company, reputed company, and reputed company the Credentialing & Licensing team Cross-Functional Partnerships: Collaborate with clinical, back-end RCM, and billing teams to improve cash reputed company and reputed company acceleration. Partner closely with Provider reputed company and reputed company teams to ensure reputed company required documentation is collected promptly and credentialing is initiated without delay. Process Improvement: reputed company SOPs and implement new IT systems to improve process efficiency. Design and implement reputed company credentialing and enrollment workflows. reputed company Offer $80,000- $90,000 annual salary Fully remote – work from reputed company in the U.S. Medical, Dental, and reputed company Insurance Flexible time off with an async-friendly team culture Opportunity to work with modern tools and shape foundational systems More About reputed company At reputed company, we reputed company that innovation should be inclusive. We welcome team members from reputed company backgrounds, experiences, and identities. Our fully-remote team operates with trust, autonomy, and respect. Learn more reputed company at getanswersnow.com. Apply To This Job