About this role
CVR: Where Purpose Meets Work-Life Balance
We believe that when people feel supported, they thrive. Thats why Center for Vein Restoration (CVR) has created a healthcare workplace rooted in purpose, belonging, and trust, where every team member is empowered to grow, contribute, and make a positive impact.
With a 98% patient satisfaction rating, our success is driven by the people who show up every day with talent, passion, and heart. We support work-life balance through consistent weekday-only schedules with no nights, weekends, or on-call shifts. If youre looking for a place where your work truly matters, where youll be encouraged, respected, compensated, and celebrated, wed love to meet you!
The Manager of Preauthorization & Medical Records is responsible for overseeing daily operations of the preauthorization and medical records departments. This role ensures timely insurance authorization, compliance with healthcare regulations, accurate medical record management, and high-quality patient service. The manager leads staff, improves workflow efficiency, and ensures adherence to payer and regulatory requirements.
Our Employees Enjoy:
- Fast paced, learning work environment
- Medical, Dental & Vision insurance
- Tuition reimbursement
- PTO + 8 paid holidays
- 401k Program
- Eligible for a bonus plan
- Opportunity for continued growth & development
Compensation
- $70,000-75,000/year
- Eligible for Quarterly Bonus plan
Duties and Responsibilities:
- Oversee and manage all insurance preauthorization and Medical Records process and team.
- Hire, train, and evaluate preauthorization and medical records staff.
- Conduct regular performance reviews and provide coaching and development.
- Develop staffing schedules and ensure adequate coverage.
- Promote teamwork and a patient-centered culture.
- Ensure timely submission and follow-up of authorization requests to prevent delays in patient care.
- Maintain up-to-date knowledge of payer policies and authorization requirements.
- Monitor authorization denials and implement corrective action plans to reduce denial rates.
- Supervise release of information (ROI) processes in compliance with HIPAA regulations.
- Develop and maintain medical records policies and procedures.
- Collaborate with providers and billing department to ensure accurate documentation supports medical necessity.
- Ensure compliance with HIPAA and other regulatory requirements.
- Conduct internal audits for documentation accuracy and authorization timeliness.
- Develop and track departmental KPIs (authorization turnaround time, denial rates, ROI turnaround time).
- Implement workflow improvements to increase efficiency and reduce errors.
- Overall management responsibility for the departments
- Responsible for the training of all templates, documents and systems related to EHR/EMR
- Develop & manage RCM Department SOPs
- Maintain good working relationship with clinic team, other department leaders and their team, payers & Vendors
- Assist & train during acquisition transition phase
- All other duties as assigned
Qualifications
Minimum Requirements:
- Associates degree required; Bachelors Degree Preferred
- Minimum of 4 years of experience in credentialing and medical records
- At least a year of supervisor/management experience
Qualifications:
- Strong leadership and team management skills.
- Knowledge of HIPAA and healthcare compliance regulations.
- Excellent organizational and time-management abilities.
- Analytical skills for tracking metrics and improving processes.
- Strong communication and problem-solving skills.