Senior Manager - Preauthorization & Revenue Continuity

Medical University of South Carolina; Charleston (SC); On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Health insurance

Employer Sponsored Retirement Plan

Paid time off and extended sick leave

Paid Parental Leave

Disability insurance plan options

Continuous professional and clinical培训

Competitive pay

Annual Merit Increase

Wellbeing resources

Tuition Reimbursement

Employee perks and discounts

Employee referral program

Flexible schedule options

Certification incentive program

Job summary

The Senior Manager of Preauthorization Services at Medical University of South Carolina leads strategic and operational oversight of all preauthorization activities across the health system, ensuring timely, accurate, and compliant authorizations to support revenue cycle performance.

This role partners with clinical, access, coding, billing, and payer relations teams to optimize workflows, reduce denials, and improve patient access.

Qualifications

• Bachelor’s degree required or equivalent education and/or relevant work experience.
• 8+ years progressive work experience and 3 years management experience.

Responsibilities

• Strategic direction and day-to-day leadership for all preauthorization services across inpatient, outpatient, and procedural areas.
• Design, implement, and standardize authorization workflows to ensure efficiency, scalability, and compliance.
• Establish departmental goals, KPIs, and performance benchmarks aligned with revenue cycle and organizational objectives.
• Lead change initiatives to support new service lines, payer requirements, and organizational growth.
• Ensure timely and accurate authorizations to minimize denials, delays in billing, and revenue leakage.
• Analyze authorization-related denial trends and collaborate with denial management and appeals teams to drive corrective action.
• Monitor financial performance metrics including denial rates and impact to net revenue.
• Support clean claims and timely billing through strong upstream authorization practices.
• Directly manage managers, supervisors, and/or team leads within preauthorization services.
• Recruit, develop, and retain a high-performing workforce through coaching and succession planning.

Education

Bachelor’s degree or equivalent

Job description

The Senior Manager of Preauthorization Services at Medical University of South Carolina leads strategic and operational oversight of all preauthorization activities across the health system, ensuring timely, accurate, and compliant authorizations to support revenue cycle performance.

This role partners with clinical, access, coding, billing, and payer relations teams to optimize workflows, reduce denials, and improve patient access.