Manager of Front-End Revenue Cycle

Leads the authorization team for securing and maintaining payer approvals for clinical services.

• •The Manager of Front-End Revenue Cycle leads the authorization team responsible for securing and maintaining payer approvals for clinical services (ABA Services).
• •Key Responsibilities Lead all front-end operations, including registration, benefits verification, medical documentation, and prior authorization.
• •Analyze root causes of rejections and edits to implement corrective actions and minimize denials.
• •Monitor key performance indicators (KPIs) such as clean claim rates, insurance verification accuracy, and charge lag.
• •Hire, train, and manage staff productivity, providing coaching to ensure compliance with HIPAA and payer policies.
• •Collaborate with clinical, back-end RCM, and billing teams to improve cash flow and revenue acceleration.
• •Develop SOPs and implement new IT systems to improve process efficiency.
• •Requirements 3-5+ years of healthcare revenue cycle experience, specifically with front-end workflows (scheduling, verification, authorization).
• •Comprehensive understanding of medical billing, coding (ICD-10, CPT), and payer rules.
• •Proficiency with Google Suite (e.g., Docs, Sheets, Drive, Forms, Slides).