Assistant Manager – Eligibility & Benefits Verification, Prior Authorization (Physician Billing)

8 years

0 Lacs

Posted:6 days ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

About the Role:

We’re looking for a dynamic Assistant Manager to lead our Eligibility & Benefits Verification and Prior Authorization team. The ideal candidate will have strong expertise in U.S. healthcare RCM processes, payer policies, and operational management. This role involves leading a team, driving performance, ensuring accuracy, and maintaining client satisfaction across multiple healthcare accounts.


Department: Practice Support Services (RCM)


Key Responsibilities:


Supervise daily E&B and PA operations ensuring 100% accuracy and timely completion of the tasks.


Review payer responses, coverage details, and prior authorization requirements.


Lead, train, and motivate the team to achieve quality and productivity goals.


Manage client email communication, escalations, and performance reporting.


Ensure compliance with payer guidelines and internal SOPs.


Drive process improvements and assist in new client transitions.



Required Skills & Experience:


8+ years of experience in U.S. healthcare RCM, with strong domain knowledge in Eligibility, Benefits, and Prior Authorization.


Minimum 3 years in a Team Lead or 2 Years in an Assistant Manager role.


Hands-on experience with MS Excel, Power Point, Payer portals, EMR/EHR systems, and Insurance Verification Tools.


Strong Leadership, Analytical, and Communication skills.



Education:

Bachelor’s degree in any discipline (Healthcare or Business preferred).


Pls send resume to -


asood@nath-mds.com

9958899364

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