Insurance Coordinator Manager

Overview

A leading provider of patient-centered advanced, minimally invasive treatments, specializing in addressing acute and chronic pain conditions of the neck, back, and joints through state-of-the-art, non-surgical techniques is seeking an Insurance Coordinator Manager.

Job : 25382

Salary: $70,000 Per Year

Location: Hybrid in Lawrenceville, GA

Employment Type: Direct Hire

Schedule: Monday – Friday, 8 AM – 5 PM

As the Insurance Coordinator Manager
, you will oversee the daily operations of insurance verification, authorization, and referral processes within a fast-paced outpatient setting. This role leads and mentors a team of specialists, ensuring accuracy, efficiency, and compliance with payer requirements and regulatory standards. The manager serves as the primary escalation point for complex authorization cases while monitoring key performance metrics to optimize reimbursement outcomes. Through strong communication, analytical expertise, and process improvement initiatives, this role supports seamless revenue cycle operations and an exceptional patient experience.

• Lead, supervise, and mentor a team of insurance verification and authorization staff, fostering accountability, collaboration, and continuous improvement.
• Develop, implement, and oversee workflows and standard operating procedures for insurance verification, authorization, and referral processes to ensure efficiency and accuracy.
• Establish, monitor, and report on key performance indicators (KPIs), including authorization approval rates, denial trends, turnaround times, and productivity metrics.
• Serve as the escalation point for complex insurance cases, payer disputes, authorization challenges, and benefit discrepancies.
• Conduct regular quality assurance audits to ensure accurate documentation of eligibility, benefits, authorizations, and patient account information.
• Build and maintain professional relationships with insurance carriers, third-party payers, and related stakeholders to facilitate issue resolution and process clarity.
• Ensure compliance with internal policies and all applicable state and federal regulations, including HIPAA and payer guidelines.
• Identify training needs and coordinate onboarding and ongoing education related to insurance policies, regulatory updates, and system enhancements.
• Analyze denial patterns and operational data to identify trends and implement corrective action plans.
• Drive continuous process improvement initiatives to enhance workflow efficiency, reduce errors, and improve reimbursement outcomes.
• Collaborate cross-functionally with billing, clinical, scheduling, and administrative teams to support seamless revenue cycle operations.
• Maintain up-to-date knowledge of payer requirements, authorization rules, and industry best practices.
• Prepare and present operational reports and performance updates to leadership.
• Support system implementations, upgrades, and optimization efforts related to insurance and authorization processes.
• Other duties as assigned

• Minimum of 4 years of experience in an outpatient medical office setting, with direct experience in insurance verification and authorization processes.
• Prior leadership or management experience overseeing insurance coordination teams preferred.
• Strong working knowledge of CPT and ICD-10 coding, medical terminology, and pre-certification/authorization protocols.
• Demonstrated experience utilizing payer authorization portals and insurance carrier systems.
• Experience managing authorizations within a Pain Management or specialty care environment required.
• Proficiency with EMR/EHR systems and practice management software.
• Excellent verbal and written communication skills, with the ability to accurately document patient and payer interactions.
• Highly detail-oriented with strong organizational and problem-solving skills.
• Personable and professional demeanor, with the ability to effectively represent the practice while providing clear and accurate information to patients, providers, and payers.
• Ability to interpret insurance policies, benefits, and medical necessity requirements.
• Strong analytical skills with the ability to review denial trends and recommend corrective actions.
• Knowledge of HIPAA regulations and healthcare compliance standards.
• Ability to prioritize tasks, manage multiple deadlines, and perform effectively in a fast-paced environment.
• Proficiency in Microsoft Office or similar reporting tools.

Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles.

As part of our employment process, candidates who received a conditional offer may be required to undergo pre-employment drug testing.

Parker Staffing is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.