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Manager, Benefit Verification & Authorization Operations
Prompt Therapy Solutions IncManaging Prompt’s healthcare revenue cycle benefit verification and authorization teams. Driving quality, SLAs, escalations, process improvement, and reduced billing denials.
Posted 8/14/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $90,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in healthcare revenue cycle management, particularly in Benefit Verification and Prior Authorization, with a strong focus on team leadership, operational efficiency, and compliance with HIPAA regulations.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementBenefit VerificationPrior AuthorizationPeople ManagementAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance EligibilityPayer RequirementsOperational Process ImprovementRoot-Cause AnalysisPerformance Metrics ManagementQuality AssuranceWorkflow StandardizationReporting ToolsHealthcare Technology PlatformsPractice Management Systems
Soft Skills
LeadershipCoachingPerformance ManagementCommunicationProblem-Solving
Tools & Technologies
Payer PortalsReporting DashboardsHealthcare Technology Platforms
Industry Keywords
HIPAA CompliancePatient AccessOperational EscalationsReimbursement DelaysAuthorization Management
About the role
Key responsibilities & impact- Lead Prompt’s Benefit Verification and Authorization functions across RCM clients
- Directly manage and develop Benefit Verification and Authorization Team Leads
- Align workloads, staffing, and priorities with client volumes and business needs
- Establish expectations and accountability across both teams
- Support complex operational, payer, client, and employee escalations
- Own performance metrics and SLAs, including accuracy, turnaround times, approval rates, pending authorizations, backlog, productivity, and denials
- Use reporting and dashboards to identify performance gaps, payer trends, and operational risks
- Implement corrective action plans and quality assurance/auditing processes
- Ensure accurate benefit information and appropriate identification and management of required authorizations
- Identify missing, pending, expiring, or exhausted authorizations before they affect visits or reimbursement
- Serve as the management-level escalation point for complex payer, client, and workflow issues
- Analyze recurring issues, identify root causes, and prevent future occurrences
- Partner with Billing, AR, and other RCM teams to reduce denials and reimbursement delays
- Improve and standardize Benefit Verification and Authorization workflows across teams and clients
- Identify automation and system improvements to reduce manual work
- Partner with RCM leadership, Product, and BI on reporting, workflow, and system enhancements
- Communicate, implement, and monitor process and system changes
- Ensure onboarding, training, coaching, SOPs, payer resources, and workflow documentation are maintained
Requirements
What you’ll need- 5+ years of experience in healthcare revenue cycle management, patient access, Benefit Verification, Prior Authorization, or related healthcare operations
- 2+ years of people management experience, preferably within healthcare operations
- Strong knowledge of insurance eligibility, benefits, prior authorization, and payer requirements
- Experience managing teams against productivity, quality, and turnaround-time expectations
- Strong analytical and problem-solving skills, including root-cause analysis and solution implementation
- Demonstrated ability to manage complex operational and payer escalations
- Strong leadership, coaching, and performance management skills
- Experience improving and standardizing operational processes
- Experience with practice management systems, payer portals, healthcare technology platforms, and reporting tools
- Ability to work independently and manage competing priorities in a fast-paced environment
- Compliance with HIPAA regulations and patient health information protection requirements
- Must be legally authorized to work in the US and physically located in the US
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Prompt Therapy Solutions Inc Website LinkedIn All Job Openings 11 - 50 employees 🏥 Healthcare 💼 Consulting 📦 Logistics Healthcare
- Consulting
- Logistics Prompt Therapy Solutions Inc. is a company that provides therapy-focused software solutions designed to enhance the efficiency and profitability of clinics. They offer a range of features including AI-powered scheduling, patient management, billing, and reporting tools. Their platform caters to various practice sizes, from startup clinics to large enterprises, aiming to optimize clinic operations and improve patient satisfaction. The company's AI solutions help streamline workflows for roles such as front desk staff, therapists, billers, and clinic owners. Through advanced analytics and automated processes, Prompt Therapy Solutions seeks to modernize practice management and drive growth for therapy providers. Manager, Benefit Verification & Authorization Operations Job not on LinkedIn 🔥 1 minute ago 🇺🇸 United States – Remote 💵 $80k - $90k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ⚙️ Operations Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Lead Prompt’s Benefit Verification and Authorization functions across RCM clients
- Directly manage and develop Benefit Verification and Authorization Team Leads
- Align workloads, staffing, and priorities with client volumes and business needs
- Establish expectations and accountability across both teams
- Support complex operational, payer, client, and employee escalations
- Own performance metrics and SLAs, including accuracy, turnaround times, approval rates, pending authorizations, backlog, productivity, and denials
- Use reporting and dashboards to identify performance gaps, payer trends, and operational risks
- Implement corrective action plans and quality assurance/auditing processes
- Ensure accurate benefit information and appropriate identification and management of required authorizations
- Identify missing, pending, expiring, or exhausted authorizations before they affect visits or reimbursement
- Serve as the management-level escalation point for complex payer, client, and workflow issues
- Analyze recurring issues, identify root causes, and prevent future occurrences
- Partner with Billing, AR, and other RCM teams to reduce denials and reimbursement delays
- Improve and standardize Benefit Verification and Authorization workflows across teams and clients
- Identify automation and system improvements to reduce manual work
- Partner with RCM leadership, Product, and BI on reporting, workflow, and system enhancements
- Communicate, implement, and monitor process and system changes
- Ensure onboarding, training, coaching, SOPs, payer resources, and workflow documentation are maintained 🎯 Requirements
- 5+ years of experience in healthcare revenue cycle management, patient access, Benefit Verification, Prior Authorization, or related healthcare operations
- 2+ years of people management experience, preferably within healthcare operations
- Strong knowledge of insurance eligibility, benefits, prior authorization, and payer requirements
- Experience managing teams against productivity, quality, and turnaround-time expectations
- Strong analytical and problem-solving skills, including root-cause analysis and solution implementation
- Demonstrated ability to manage complex operational and payer escalations
- Strong leadership, coaching, and performance management skills
- Experience improving and standardizing operational processes
- Experience with practice management systems, payer portals, healthcare technology platforms, and reporting tools
- Ability to work independently and manage competing priorities in a fast-paced environment
- Compliance with HIPAA regulations and patient health information protection requirements
- Must be legally authorized to work in the US and physically located in the US Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Portfolio Operations Specialist 🔥 29 minutes ago Mercer Advisors 501 - 1000 🛡️ Insurance 💼 Consulting 💳 Fintech Website LinkedIn All Job Openings Portfolio Operations Specialist managing third-party asset platforms for Mercer Advisors, a comprehensive financial planning and wealth management firm. Supporting trading, asset allocation, account accuracy, and client service teams. 🇺🇸 United States – Remote 💵 $26 - $28 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ⚙️ Operations Senior IT Operations Technician 🔥 30 minutes ago Tines 51 - 200 💼 Consulting 📦 Logistics ☁️ SaaS Website LinkedIn All Job Openings Senior IT Operations Technician managing enterprise platforms and federal-cloud IT support for Tines, an intelligent workflow automation company. Leading escalations, mentoring technicians, and driving automation and process improvements. 🇺🇸 United States – Remote 💵 $115k - $135k / year ⏰ Full Time 🟠 Senior ⚙️ Operations 🦅 H1B Visa Sponsor Digital Operations, QC Specialist II 🔥 40 minutes ago Thermo Fisher Scientific 10,000+ employees 🏥 Healthcare 📦 Logistics 🏭 Manufacturing Website LinkedIn All Job Openings Digital QC Specialist validating clinical study configurations for Thermo Fisher’s PPD clinical research business. Ensuring protocol, budget, regulatory, and site-network accuracy while driving quality improvements. 🇺🇸 United States – Remote 💵 $60k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ⚙️ Operations 🦅 H1B Visa Sponsor Senior Manager, Sales Agency Operations 🔥 50 minutes ago Devoted Health 1001 - 5000 🏥 Healthcare ⚕️ Healthcare Insurance 🧘 Wellness Website LinkedIn All Job Openings Senior Manager driving agency onboarding, compliance, and partnerships for Devoted Health’s Medicare Advantage plans. Leading scalable cross-functional operations projects and supporting strategic agency relationships. 🇺🇸 United States – Remote 💵 $110k - $150k / year ⏰ Full Time 🟠 Senior ⚙️ Operations Senior Client Operations Specialist 🔥 52 minutes ago VSP Vision Care 1001 - 5000 🏥 Healthcare 📣 Marketing 🍽️ Food & Beverage Website LinkedIn All Job Openings Client operations specialist supporting strategic clients, brokers, implementations, billing, contracts, and issue resolution for VSP Vision’s eye-care business. Maintaining client satisfaction and retention across complex accounts. 🇺🇸 United States – Remote 💵 $17 - $28 / hour ⏰ Full Time 🟠 Senior ⚙️ Operations View More Operations Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs