RCS Manager- Rehab Prior Authorization

Indiana University Health; United States; Hybrid; USD 90,000 - 140,000; Full time

Job summary

Indiana University Health seeks a strategic RCS Manager- Rehab Prior Authorization to lead revenue cycle operations across multiple teams. This role emphasizes administrative decision-making, leadership, and strategic planning to optimize resources and standardize processes, aligned with national benchmarks.

The candidate will oversee a complex operating environment, require strong SME knowledge in reimbursement and healthcare billing terms, and manage a hybrid work model with occasional onsite

Qualifications

• Requires strong knowledge of business and reimbursement management.
• Requires demonstrable knowledge of healthcare billing terminology concepts and processes.
• Requires the ability to plan and manage the utilization of resources.
• Requires a high level of interpersonal, problem-solving and analytical skills.
• Requires effective written and verbal communication skills in both individual and group settings.

Responsibilities

• Lead Revenue Cycle operations for all assigned Revenue Cycle Services teams.
• Provide departmental administrative decision making, leadership, and strategic planning.
• Ensure high quality standardized work processes with outcomes benchmarked to national standards.
• Support a diverse and complex operating environment with strong SMEs and leadership.
• Oversee hybrid work arrangements with occasional onsite presence and prioritize prior authorization and insurance verification.

Skills

Leadership

Budget management

Interpersonal skills

Analytical skills

Written and verbal communication

Education

Undergraduate degree

Job description

RCS Manager- Rehab Prior Authorization

Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes. They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do. Indiana University Health is seeking individuals who embody these values to join our Statewide Financial Clearance leadership team in the role of RCS Manager.

This position is responsible for leading Revenue Cycle operations for all assigned Revenue Cycle Services teams. Provides departmental administrative decision making, leadership, and strategic planning, including the efficient and productive use of personnel and other financial resources. Ensures high quality standardized work processes that result in consistent outcomes that compare favorably with relevant national benchmarks. The incumbent must possess strong subject matter expertise and leadership in order to support a diverse and complex operating environment and span of control.

This is a hybrid role with occasional onsite expectations, although this is subject to change. Candidates should have previous experience in prior authorization and insurance verification.

Key Relationships

Reports to: RCS Director

Direct Reports: 20

Key Relationships: Rehab Clinics, RCS Denials Team

Candidate Qualifications

Candidates for the position will be evaluated according to the following criteria and competencies.

• Requires strong knowledge of business and reimbursement management with an undergraduate degree preferred.
• At least three years of experience with hospital or physician billing strongly preferred.
• Requires demonstrable knowledge of healthcare billing terminology concepts and processes.
• Requires the ability to plan and manage the utilization of resources.
• Requires a high level of interpersonal, problem-solving and analytical skills.
• Requires effective written and verbal communication skills in both individual and group settings.
• Requires the ability to organize and manage work to achieve performance expectations.
• Requires the ability to promote teamwork and develop team members.
• Requires ability to manage within the confines of a budget.
• Requires a passionate commitment to continuous performance improvement.

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. IU Health leaders play a crucial role in advancing the mission of our organization and inspiring teams to make a meaningful difference in the lives of patients. As one of Indiana’s largest employers and the most comprehensive medical system in the state, our vision is to lead the transformation of healthcare through quality, innovation and education, and make Indiana one of the nation’s healthiest states.

IU Health is the largest health system in Indiana with nearly 40,000 team members, 16 hospitals and $8.64 billion in operating revenue. The system’s programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics and transplants have received national recognition for quality patient care. IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world-class care for children and adults and improve the health of patients and communities across Indiana.

Indiana University Health is dedicated to a fair hiring process and is committed to equal opportunity and nondiscrimination for all individuals, regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, gender identity, expression, sexual orientation, or veteran status.

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.