Precert and Medical Records Manager

Center for Vein Restoration

Greenbelt (MD)

On-site

USD 70,000 - 75,000

Full time

4 days ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
Tuition reimbursement
PTO + 8 paid holidays
401k Program
Bonus plan
Career growth

Job summary

Center for Vein Restoration in Greenbelt, MD is seeking an on-site, full-time Preauthorization/Medical Records Manager. Lead the insurance preauthorization and medical records team, hire/train staff, and ensure timely submissions to avoid delays in patient care.

You will maintain HIPAA compliance, develop staffing schedules, and monitor KPIs like turnaround times and denial rates, collaborating with providers and billing to support accurate documentation.

Qualifications

  • Associate degree required; Bachelor’s preferred.
  • Minimum 4 years in credentialing and medical records.
  • At least 1 year of supervisor/management experience.

Responsibilities

  • Oversee and manage all insurance preauthorization and Medical Records processes and team.
  • Hire, train, and evaluate preauthorization and medical records staff.
  • Conduct regular performance reviews and provide coaching and development.
  • Develop staffing schedules and ensure adequate coverage.
  • Promote teamwork and a patient-centered culture.
  • Ensure timely submission and follow-up of authorization requests to prevent delays in patient care.

Skills

Leadership
Communication
Problem solving
Time management
Analytical skills

Education

Associate's degree
Bachelor's degree preferred

Tools

EHR/EMR systems
HIPAA compliance

Job description

Job Details: Job Location: Clinical Support Center - Greenbelt, MD, Position Type: Full Time, Salary Range: $70000.00 - $75000.00Salary/year, CVR: Where Purpose Meets Work-Life Balance

We believe that when people feel supported, they thrive. That’s why Center for Vein Restoration (CVR) has created a healthcare workplace rooted in purpose, belonging, and trust, where every team member is empowered to grow, contribute, and make a positive impact.

With a 98% patient satisfaction rating, our success is driven by the people who show up every day with talent, passion, and heart. We support work-life balance through consistent weekday-only schedules with no nights, weekends, or on-call shifts. If you’re looking for a place where your work truly matters, where you’ll be encouraged, respected, compensated, and celebrated, we’d love to meet you!

Our Employees Enjoy:
  • Fast paced, learning work environment
  • Medical, Dental & Vision insurance
  • Tuition reimbursement
  • PTO + 8 paid holidays
  • 401k Program
  • Eligible for abonus plan
  • Opportunity for continued growth &development
Compensation
  • $70,000-75,000/year
  • Eligible for Quarterly Bonus plan
Duties and Responsibilities:
  • Oversee and manage all insurance preauthorization and Medical Records process and team.
  • Hire, train, and evaluate preauthorization and medical records staff.
  • Conduct regular performance reviews and provide coaching and development.
  • Develop staffing schedules and ensure adequate coverage.
  • Promote teamwork and a patient-centered culture.
  • Ensure timely submission and follow-up of authorization requests to prevent delays in patient care.
  • Maintain up-to-dated knowledge of payer policies and authorization requirements.
  • Monitor authorization denials and implement corrective action plans to reduce denial rates.
  • Supervise release of information (ROI) processes in compliance with HIPAA regulations.
  • Develop and maintain medical records policies and procedures.
  • Collaborate with providers and billing department to ensure accurate documentation supports medical necessity.
  • Ensure compliance with HIPAA and other regulatory requirements.
  • Conduct internal audits for documentation accuracy and authorization timeliness.
  • Develop and track departmental KPIs (authorization turnaround time, denial rates, ROI turnaround time).
  • Implement workflow improvements to increase efficiency and reduce errors.
  • Overall management responsibility for the departments
  • Responsible for the training of all templates, documents and systems related to EHR/EMR
  • Develop &manage RCM Department SOPs
  • Maintain good working relationship with clinic team, other department leaders and their team, payers &Vendors
  • Assist &train during acquisition transition phase
  • All other duties as assigned
Qualifications: Minimum Requirements:
  • Associate’s degree required; Bachelor’s Degree Preferred
  • Minimum of 4 years of experience in credentialing and medical records
  • At least a year of supervisor/management experience
Qualifications:
  • Strong leadership and team management skills.
  • Knowledge of HIPAA and healthcare compliance regulations.
  • Excellent organizational and time-management abilities.
  • Analytical skills for tracking metrics and improving processes.
  • Strong communication and problem-solving skills.
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