Eligibility Operations Manager | Patient Access & Revenue Cycle

Prism Vision Group; New Providence (NJ); On-site; USD 80,000 - 85,000; Full time

Job summary

Prism Vision Group in New Providence, NJ is seeking a Manager, Patient Eligibility to lead the centralized eligibility team and ensure compliant, efficient patient access in a centralized support model.

In this on-site role, you will coach specialists, align workflows with payer requirements, monitor performance, and partner with providers, IT, and operations to optimize revenue-cycle processes.

Qualifications

• Bachelor's degree in business, healthcare administration, finance, revenue cycle, or related field.
• At least five years of progressive experience in prior authorization, benefits investigation, patient access, specialty medication, or healthcare revenue cycle.
• At least one year of formal or informal leadership, training, workflow-lead, or supervisory experience.
• Demonstrated proficiency in performance management, operational reporting, workflow improvement, and cross-functional communication.

Responsibilities

• Provide centralized, consistent support across assigned practices or regions in alignment with Prism Vision Group standards.
• Oversee daily Patient Eligibility operations, including benefits investigation, prior authorization, financial advocacy, and workload management.
• Ensure work is completed accurately, timely, and in accordance with payer requirements and workflows.
• Develop and maintain SOPs, job aids, escalation pathways, reporting tools, and performance dashboards.
• Lead implementation and stabilization activities for acquisitions, new practices, system deployments, and changes.

Skills

Leadership

Performance management

Coaching

Cross-functional collaboration

Education

Bachelor's degree in business/healthcare

Tools

Microsoft Office

Healthcare workflow systems

Job description

Prism Vision Group in New Providence, NJ is seeking a Manager, Patient Eligibility to lead the centralized eligibility team and ensure compliant, efficient patient access in a centralized support model.

In this on-site role, you will coach specialists, align workflows with payer requirements, monitor performance, and partner with providers, IT, and operations to optimize revenue-cycle processes.