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Prior Authorization Services Manager

Requisition ID:

21162230

Business Unit:

Hartford HealthCare Corp.

Location:

Hartford, CT

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Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: Monday-Friday

Work where every moment matters.

Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The Hartford HealthCare Cancer Institute (HHC CI) is a pioneering member of the Memorial Sloan Kettering (MSK) Cancer Alliance. Through the bi-directional collaboration facilitated by this partnership, community providers are better positioned to provide state-of-the-art, evidence-based cancer care to improve the lives of cancer patients. Together, the Hartford Healthcare Cancer Institute and Memorial Sloan Kettering are staying ahead of cancer.

The Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services– all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology.

The Prior Authorization Services Manager is responsible for oversight and administering, planning, coordinating, directing all clerical and administrative office activities for the prior authorization staff within the Hartford HealthCare Cancer Institute. Responsibilities include but, are not limited to the following:

 

  • Ensures the completion of all prior authorization tasks in order to ensure patient access and reimbursement for physician and clinical services
  • Develops and supervises staff for project completion.
  • Oversees recruiting and selection, training, employee development, mentoring, counseling and performance evaluations.
  • Ensures all prior authorization tasks are assigned to the appropriate staff and completed accurately and within established standards and timeframes.
  • Establishes department goals in regards to recovery, production, and turnaround time.
  • Ensures that staff have the most up-to-date information to provide accurate answers to patients and front line staff regarding patient registration process updates and insurance benefit, eligibility, and specific payer authorization information.
  • Uses a quality assessment checklist to ensure all patient interactions are handled using HHC values and behaviors and patients are provided accurate information, according to department protocols.
  • Works with various clinic staff and agencies to ensure efforts are coordinated and high quality care is provided.
  • Participates in fiscal viability by evaluating processes and looking at staffing.
  • Review, develop, and recommend new policies and procedures to enhance effectiveness of prior authorization processes. 

Qualifications

Education:
• Bachelor’s Degree Strongly preferred

Work Experience:
• 5 years Prior Authorization specific to oncology

•2 years management or supervisory experience within an a medical office setting

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

 
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