Manager - Prior Authorization

Job Role: Manager Prior Authorization

The Prior Authorization Manager is responsible for overseeing the daily operations of the prior authorization

department. This role involves leading a team to ensure all required prior authorizations are obtained accurately and in a

timely manner for patient services, medications, and procedures. The manager will develop and implement efficient

workflows, monitor key performance indicators, ensure compliance with all payer and regulatory requirements, and serve as a

key resource for staff and clinical teams. The ultimate goal is to minimize claim denials, reduce delays in patient care, and

optimize the revenue cycle.

Desired Candidate:

• A minimum of 15 years of experience in prior authorization, medical billing, or revenue cycle management.
• At least 5 years of experience in a leadership or supervisory role.
• Prior Authorization Expertise: In-depth knowledge of prior authorization processes for a wide range of medical

services and specialties.

• Strong understanding of insurance and third-party payer policies, especially those from major health plans.
• Experience with electronic health records (EHR) systems, prior authorization software, and Microsoft Office Suite.
• Familiarity with HIPAA regulations and other healthcare compliance standards.
• Excellent leadership, communication, and interpersonal skills.
• Strong analytical skills to interpret data, identify trends, and make informed decisions.
• Proven ability to resolve complex issues and manage competing priorities effectively.

Relevant experience candidate can reach me on [email removed] / [phone removed]

Regards,

Ramesh Chary Arravalli

Assistant Manager - HR

Primera Medical Technologies.