RCM Authorization Team Lead

Allied Digestive Health; West Long Branch (NJ); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401K

Commuter Benefits

Time‑Off Benefits

Employee Assistance Program

Job summary

A healthcare organization based in New Jersey is seeking a Full-Time Authorization Team Lead to assist in the Revenue Cycle operations. This hybrid role requires expertise in medical billing and familiarity with prior authorization procedures for multiple insurance carriers. Candidates should have a high-school diploma or GED and at least 3 years of experience in Revenue Cycle. Competitive salary and benefits package offered, including healthcare and retirement plans.

Qualifications

• Minimum of 3 years’ experience in Revenue Cycle.
• Proficient in using Microsoft Word and Excel.
• Experience with medical billing and insurance policies.

Responsibilities

• Assist the Revenue Cycle Manager in the Authorizations Department.
• Coordinate manual prior authorization workflow and use Athena Authorization Tracker.
• Develop knowledge of prior authorization processes for various insurance carriers.

Skills

Experience in Revenue Cycle

Proficiency with Microsoft Office

Familiarity with medical billing

Knowledge of prior authorization procedures

Education

High-school diploma or GED

Tools

Athena

Job description

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician‑led organization, our dynamic structure encourages physician input and decision‑making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board‑certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top‑quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health – US News & World Report.

Full‑Time Authorization Team Lead

This is a Hybrid position

Responsibilities

• The Authorization Lead is responsible for assisting the Revenue Cycle Manager – Authorization on the day‑to‑day business operation of the Authorizations Department.
• The Authorization Team Lead will assist in the manual prior authorization workflow and in the Athena Authorization Tracker which includes working the queue and coordinating with practices to efficiently process, monitor, and improve the prior authorization process.
• The Authorizations Team Lead must have experience with medical billing and fluency with information on insurance medical policies.
• Authorization Team Lead must be knowledgeable with prior authorization procedures for various insurance carriers including how to obtain them, the resources used in the process, and requirements across multiple insurance carriers.

Qualifications

• High‑school diploma or GED.
• 3 years’ experience in Revenue Cycle.
• Proficiency with Microsoft office products including Word and Excel.
• Athena experience preferred.

We offer a competitive base salary, generous benefits, including: Medical, Dental, Vision, Life Insurance, Voluntary, Time‑Off Benefits, EAP, 401K and Commuter Benefits.

Job Type: Full‑time