The Utilization Management Manager oversees front-end prior authorizations and in-house concurrent review authorizations to ensure timely patient access to care. This role acts as a liaison between clinical teams, payors, and administration to manage denials, facilitate appeals, and support revenue integrity.
The Utilization Management Manager oversees the authorization process for patient admissions and concurrent reviews to ensure timely access to care. This role acts as a liaison between clinical teams, payors, and administration to manage denials and maintain revenue integrity.
The Patient Account Representative II manages revenue cycle functions including billing, collections, and cash posting while providing team leadership and training. They are responsible for resolving complex claim issues, reconciling payments, and coordinating with departments to improve operational efficiency.
