About the Role
This role is responsible for managing the end-to-end intake process, coordinating insurance pre-authorizations, and leading a team to ensure accurate and timely patient onboarding.
Responsibilities
- Lead the intake team to ensure consistent processing of patient referrals
- Monitor insurance authorization timelines and compliance standards
- Collaborate with clinical and billing teams to resolve coverage issues
- Develop workflows to streamline intake procedures and reduce processing delays
- Ensure documentation meets regulatory and payer requirements
- Track key performance metrics related to authorization turnaround times
- Train team members on policy updates and system changes
- Escalate complex cases to appropriate departments for resolution
- Maintain accurate records of patient eligibility and benefit verification
- Support audits by providing required intake and authorization documentation
- Coordinate with external partners to verify referral completeness
- Implement process improvements based on operational feedback
- Respond to inquiries from patients and providers regarding authorization status
- Ensure adherence to HIPAA and other privacy regulations
- Manage workload distribution to balance team capacity
Nice to Have
- Certification in healthcare compliance or practice management
- Experience in home-based or virtual care settings
- Background in neurology or specialty care administration
- Prior success in reducing authorization denial rates
- Experience with automated eligibility verification tools
Compensation
Competitive salary based on experience
Work Arrangement
Hybrid work model with flexible scheduling
Team
Part of the clinical operations team supporting patient access workflows
What You’ll Do
- Manage daily intake operations, ensuring all referrals are processed promptly
- Supervise a team handling insurance pre-approvals and benefit verification
- Identify bottlenecks in the authorization process and recommend solutions
- Serve as a point of contact for cross-functional teams on intake-related matters
- Ensure consistent application of payer-specific authorization rules
What We’re Looking For
- A detail-oriented professional with a track record in healthcare operations
- Someone who thrives in a fast-paced environment with changing priorities
- A leader who can mentor staff and maintain team performance
- An individual with strong ethical standards in handling patient data
- A proactive thinker who identifies opportunities for process improvement
Not available