Director- EVBV, Authorization, AR Voice
2 weeks ago
Role & responsibilities
- Oversee the full lifecycle of RCM processes EVBV, Prior Authorizations, AR Follow-up (Voice), and Payment Posting.
- Define, implement, and monitor KPIs to ensure operational excellence.
Provide strategic direction to drive growth, client satisfaction, and process optimization.
Lead and manage large teams across the EVBV, Authorization, AR Voice, and Payment Posting functions.
- Ensure compliance with HIPAA regulations and payer-specific guidelines.
- Drive process standardization and best practices across all verticals.
- Monitor daily operations, SLA adherence, and resource utilization.
- Identify process gaps and implement continuous improvement initiatives.
Preferred candidate profile
Proven expertise in:
- Eligibility & Benefits Verification (EVBV)
- Authorization Process
- AR Voice Process (Insurance Follow-up)
- Payment Posting
Strong understanding of payer systems (Medicare, Medicaid, Commercials)
Familiarity with EHR/EMR systems (e.g., Epic, Cerner, eClinicalWorks).
- Lean Six Sigma or process improvement certifications (preferred).
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