Apply Job Type Full-time Description

About the Steadman Clinic

Join The Steadman Clinic Team and embark on a rewarding career where you’ll play a crucial role in delivering exceptional patient experiences for professional athletes and community members alike. At our Traer Creek Plaza Medical Office in Avon, you’ll play an essential role directly supporting patient experiences. As part of The Steadman Clinic Team, you’ll be immersed in a culture of excellence that values efficiency, attention to detail, and exceptional communication. You'll also be surrounded by the stunning mountain communities that are home to our clinics, allowing you to enjoy a unique lifestyle that balances professional growth with outdoor adventure and the rewarding experience of making a positive difference in people's lives. If you thrive in a fast-paced, collaborative environment, apply today to become a vital part of our dynamic team at our Traer Creek Medical Office. 

POSITION DETAILS

Job Title: Insurance Authorizations Manager 

Status: This is a full-time, year-round, benefits eligible position.

Classification: Exempt - Salary

Schedule: M-F

Location: This is an in-office position, primarily based at our Avon location.

Pay Range: The entry salary range for this position is $65,000-$75,000 and is dependent on experience. 

POSITION OVERVIEW

The Insurance Authorizations Manager oversees all aspects of the organization’s insurance operations, focusing on the daily activities of the Patient Access Medical Insurance and Prior Authorization departments. The role ensures exceptional customer service and optimizes revenue cycle operations related to prior authorizations, documentation, billing, and claims. The manager must possess a strong understanding of regulatory and third-party payer guidelines, ensuring authorization functions and operations are compliant with admissions, discharges, ambulatory visits, diagnostic imaging, inpatient and outpatient services, and billing. Collaboration with the TSC and OCP management teams is essential for success.

CORE RESPONSIBILITIES

Lead and manage daily operations of the Insurance/Authorization departments, ensuring consistent delivery of high-quality services while maintaining productivity standards.Manage departmental budgets along with resource allocation and productivity targets, ensuring operational efficiency and cost-effectiveness.Ensure staff is properly oriented, trained, and compliant with required competencies, certifications, and educational standards.Promote cross-training initiatives to ensure staff can adapt to various roles and responsibilities, contributing to operational flexibility.Communicate and coordinate process updates with internal departments (TSC) and external departments to ensure timely prior authorizations are in place before service dates, improving patient satisfaction, reimbursement rates, and problem resolution.Actively engage in denial reduction efforts, ensure timely filing, and address claim errors related to registration and authorization processes.Serve as a subject matter expert in Revenue Cycle operations related to registration and authorizations, providing insights to improve operational efficiency.Streamline processes and systems to maximize operational effectiveness and ensure regulatory compliance.Maintain the accuracy and completeness of patient data entered into the Electronic Medical Record (EMR) system, ensuring that all information is correct and up-to-date.Enforce organizational policies and standards consistently across all functions.Monitor and ensure adequate staffing levels to maintain workflow and provide timely patient service and submission of authorizations.Conduct department audits to identify errors and provide regular written and verbal feedback to staff and management, ensuring continuous improvement.Delegate tasks as necessary to ensure that workflow is maintained during employee absences.Provide support to staff in delivering exceptional patient service, addressing patient and insurance service issues in collaboration with Payer Contracting and Insurance Payer Representatives as needed.Maintain a comprehensive knowledge of industry trends, regulatory updates, and changes in insurance verification, benefits, reimbursement, claims denials, and healthcare management to remain compliant and efficient.Develop and implement strategies that align with state and government regulations to ensure compliance with all applicable laws.Monitor workflows across all Patient Access functions—registration, authorization, financial counseling, pre-service estimates, collections—to optimize outcomes for both patients and the organization.Lead, mentor, and hold employees accountable for performance expectations, fostering a supportive environment through coaching, mentoring, and disciplinary actions when necessary.

Perform other related duties as assigned

Please note, the responsibilities and scope outlined in this document are not exhaustive and may evolve based on the business's needs. This job description serves as a general overview of key duties and responsibilities but is not intended to be a comprehensive list of all tasks required for the position. Duties may change at any time, with or without notice, and at the sole discretion of The Steadman Clinic.

Requirements

MINIMUM QUALIFICATIONS

Bachelor’s degree in Accounting, Healthcare Administration, or a related field preferred.3-5 years of experience in insurance authorizations required.Experience in orthopedic billing and coding preferred.Proficient in the use of Electronic Health Record (EHR) systems required.Medical coding certification preferred, such as Certified Coding Specialist (CCS).In-depth knowledge of third-party physician specialty billing, contractual and compliance regulations, as well as a strong understanding of automated processes and claims submission.Extensive knowledge of medical office operations, professional fee billing, reimbursement processes, third-party payer regulations, and medical terminology required.Strong communication skills with the ability to navigate and conduct crucial conversations effectively.Solid understanding of the insurance authorization process flow, with the ability to identify root causes of issues and develop actionable, timely performance improvement plans.Exceptional problem-solving skills, with the ability to make quick, informed decisions in a fast-paced environment.Ability to independently plan, research, and execute projects with minimal supervision.Proven ability to build and maintain strong relationships with leadership and physicians, fostering trust and confidence.

EMPLOYEE BENEFITS

We support our employees and their families with a robust, comprehensive benefits package to ensure life in the mountains doesn’t come with compromise. Come work with us to enhance your career and thrive in our mountain communities. Benefits eligible employees receive the following:

Health, Dental and Vision Insurance with generous premium subsidies for you and your family.401(k) Retirement with a Safe Harbor contribution amount equal to 4% of eligible compensation and discretionary profit-sharing contribution.Time Off Benefits: Staff receive 7 paid holidays annually. Employees can also earn up to 155 hours of PTO within their first year. In addition, employees accrue sick time of 1 hour per 30 hours worked, up to 48 hours / year.$1000 Wellness Bonus to encourage adopting and maintaining wellness and an active lifestyle.Tuition & Education Reimbursement to support continuing education and career advancement.Employee Assistance Program with confidential support from licensed professionals.Leave Benefits: The Steadman Clinic covers the cost of paid family medical leave in Colorado, basic life and AD&D, short- and long-term disability.

HOW TO APPLY: Applications will be reviewed on a rolling basis and will be accepted until the position is filled. To apply, please submit your online application via the "Apply" link.  

We are an Equal Opportunity Employer. We are committed to equal treatment of all employees without regard to race, national origin, religion, gender, age, sexual orientation, veteran status, physical or mental disability or other basis protected by law.

Salary Description $65,000 - 75,000