RCM Authorization Team Lead

Albanygi; West Long Branch (NJ); On-site; USD 31,684 - 35,817; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Time-Off Benefits

Commuter Benefits

Job summary

A healthcare organization in West Long Branch is seeking an Authorization Team Lead to oversee day-to-day operations in the Authorization Department. Candidates should have a high-school diploma and at least 3 years of experience in Revenue Cycle. Proficiency in Microsoft Office is essential, and experience with Athena is preferred. The position offers a competitive salary of $23.00 to $26.00 hourly, along with comprehensive benefits including medical, dental, vision, life insurance, and 401(k).

Qualifications

• A minimum of 3 years of experience in Revenue Cycle is required.
• Proficiency in Microsoft Office products including Word and Excel.

Responsibilities

• Assist with day-to-day operations of the Authorization Department.
• Manage prior authorization workflow using Athena Authorization Tracker.
• Coordinate with practices to improve the prior authorization process.

Skills

Medical billing knowledge

Familiarity with insurance medical policies

Proficiency in Microsoft Office

Education

High-school diploma or GED

Tools

Athena

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Authorization Team Lead

Location: West Long Branch, NJ, US

Full time, hybrid position.

Salary: $23.00 to $26.00 hourly

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 prioritizes 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 Best Doctors in America, Top Doctors New Jersey, and US News Health – US News & World Report.

Responsibilities

• Assist the Revenue Cycle Manager – Authorization with the day‑to‑day business operations of the Authorization Department.
• 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.
• Provide experience with medical billing and fluency with information on insurance medical policies.
• Demonstrate knowledge of 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 of experience in Revenue Cycle.
• Proficiency with Microsoft Office products including Word and Excel.
• Athena experience preferred.

Benefits

We offer a competitive base salary and generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time‑Off benefits, EAP, 401(k), and commuter benefits.