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Pre - Authorization Manager
Job Description
J. Morrissey, a highly rated Recruiting & Staffing Firm by Google and Forbes Magazine, has been contracted to perform the Search for a Pre-Authorization Manager. This role is a unique position where the emphasis is more on breaking down the barriers to coverage approval for patients versus a high volume setting.
Responsibilities:
- Manage and develop a team of roughly 5 employees
- Work directly with clients and patients
- Delegate new cases to the appropriate representative
- Ensure all case work meets the Service Level Agreements for individual clients
- Work directly with Clients and Vendors
- Assist with RFP and Prospective Client calls / presentations
- Lead monthly meetings with Clients to review the programs effectiveness and results
- Audit / Spot audit files for quality and completeness
Bachelors Degree, Associates Degree or CPC / Coding Degree
5 plus years of Supervisory / Management experience
Experience from the Provider Healthcare Setting
3 to 5 years of experience in either Medical Billing, Coding, Benefit Verification, Pre-authorization and or Claim appeals
Strong communication skills and business acumen
Proficiency with Microsoft Office Suite
INDH
Meet Your Recruiter
Erik Heller, CPC, CTS
Senior Vice President & COO
Erik J. Heller has over 20 years of experience in the Recruiting and Staffing industry and has been with J.Morrissey since 1994 holding various roles with increasing responsibility. He is nationally recognized as a Certified Personnel Consultant and Certified Temporary Specialist.
As the Chief Operating Officer and Senior Vice President, Erik is responsible for the operations of all J.Morrissey offices (Windsor CT, Shelton CT, Springfield MA) as well as running a successful Healthcare Practice. He has experience placing Healthcare professionals into a variety of environments including: hospitals, managed care organizations, physician practices, management service organizations, home care agencies, and long term care facilities. In addition, Erik has a comprehensive understanding of Healthcare Reimbursement, the Revenue Cycle, Case Management and Managed Care.
Erik is a founding member and Chairman of the American Staffing Association’s Connecticut Regional Council, formerly known as the Connecticut Staffing Association, and is a Past President of the Connecticut Association of Personnel Services. He served on the Board of Directors and Executive Committee from 1999 to 2012 holding various roles such as Treasurer, 1st and 2nd Vice President Chairs. Other association’s Erik has involvement in: the National Association of Personnel Services, American Staffing Association’s Healthcare Section, Quinnipiac University Alumni Association, the Connecticut Medical Group Management Association, the Connecticut Case Management Society, and is a former Board member for the SummerWind Performing Arts Center.
Erik attended Quinnipiac College where he received a Bachelor of Science Degree in Business Management with a concentration in Human Resources.