McAllen, TX, 78501, USA
3 days ago
Authorization Area Manager
This position is incentive eligible. **Schedule: Monday - Friday; 6:00am - 3:00pm PST with flexibility** **Introduction** Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Authorization Area Manager today with Parallon **Benefits** Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Come join our team as an Authorization Area Manager. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Unit Authorization Area Manager supervises HCA PSRs and Leads. Accomplishes department objectives by managing, planning and evaluating HCA Department activities. Is responsible for the quality assurance of the Medicaid application process. The Authorization Area Manager must actively participate in hiring, training and counseling staff as needed. He/she must track department trends, identify issues and provide feedback to Director of Operations. He/she must also be proactive in providing guidance to the staff in regards to timely and appropriate account follow up, as well as keeping Area Managers informed on the overall quality of the field team. He/she also must perform additional tasks as described under the position responsibilities. **In this role you will:** + Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities + Establishes strategic goals by gathering pertinent business, service, and operations information; identifying and evaluating trends and options; choosing a course of action; defining objectives; evaluating outcomes + Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending and implementing protocol improvements + Attends and actively participates in routine calls with hospital clientele, shared service center and senior leadership + May be required to attend or facilitate meetings and/or presentations at client sites. Travel as needed throughout the country + Promotes and maintains harmonious and effective relationships and communication with other departments and clients + Identifies clinical challenges including Dx, comorbidities and new levels of care that require additional education training and conducts biweekly clinical training with Nursing staff in order to reduce Denials + Acts as primary liaisons with State Agencies that Parallon submits Authorizations + Developed clinical training curriculum for new staff and ongoing training for existing staff + Improvement Plans for Nurses who cannot achieve the required production amount + Completes bi‐weekly "check‐ins" with individual staff members to: addresses attendance and ensure staff is aware of occurrences, help prioritize caseloads, address challenges and review performance + Facilitates back‐up functions of the following duties: Posting, MR retrieval, filing, review of SPMS, Approval + Completes preliminary research and develops implementation plans for new client onboarding + Completes Write‐offs for Admissions where Authorization was Denied by State Agency + Reviews and addresses accounts on Authorization related Exception Reports + Conducts Productivity reviews with Regional Director of Operations and RVP to provide department updates and share barriers to achieving goals **Qualifications:** + Excellent written and oral communication skills. + Strong customer service skills required + Meeting facilitation and presentation skills. + Analytical ability a plus. + Valid California Driver’s License and Automobile insurance required. + AA Degree or Bachelor’s Degree Health Care preferred + LVN license or above required + 3 years minimum supervisory experience required. + 2 years Medicaid or Financial Counseling experience required. + Knowledge of Utilization Management and Authorization(s) required. + Must be knowledgeable of Medicaid and Government Program eligibility and processes. " **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Area Manager Medicaid Eligibility opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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