Authorizations Department Manager

Description

Are you a self-motivated, hands-on individual looking to do something passionate and meaningful with your career? Join us as we open a world of possibilities.

We are currently seeking an Authorizations Department Manager to join our dynamic and growing team!

• Full-Time, Exempt Position
• Remote role- Must be in CA, HI, OR, WA, or CO
• Growth & Development Opportunities

About Us

The Center for Social Dynamics (CSD) is an organization providing services to those with developmental delays, including autism. Our mission is to open a world of possibilities for individuals with Autism and other developmental needs through science, compassion, and humility.

We are grounded in our values of Transparency, Respect, Understanding, & Excellence (TRUE), which guide our efforts as a respected & growing employer and industry leader. Our people and programs deliver personalized, professional, evidence-based behavioral and developmental services to each participant and provide peace of mind to caregivers that their loved ones are in the right hands.

About the Opportunity

As an Authorization Department Manager, you will play a critical role in overseeing the authorization process across multiple CSD regions. You will act as a key liaison between clinical teams, revenue cycle management (RCM), and outsourced partners to ensure seamless communication and efficient workflows. Your responsibilities will include managing authorization approvals, monitoring compliance with payer requirements, and handling various monthly administrative tasks to support accurate and timely reimbursement from insurance carriers.

Duties & Responsibilities

• Verify eligibility and benefits
• Review and process authorizations and authorization requests, including initiating requests from funding sources
• Follow up and coordinate requested updates to pending authorization requests and resubmit requests to ensure timely approvals and process
• Reconcile approved authorization hours against requested hours and follow up with insurance if there are discrepancies
• Manage denials of authorization requests
• Enter authorization data accurately and timely into Practice Management systems
• Provide support to authorization and other RCM team members
• Address questions and concerns from clinical team members as it relates to authorizations and RCM billing practices
• Assist in maintaining Practice Management systems as it relates to authorizations and service codes
• Generate monthly reports to be used in checking eligibility and benefits verification and authorization activity and performance
• Supervise authorization staff including specialists and coordinators
• Analyze the authorization process to identify areas for improvement and efficiency gains
• Assist in the implementation of and new technologies or processes to streamline the authorization process
• Additional job duties as assigned

Requirements

Experience & Qualifications

• High School diploma or equivalent required
• Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills
• Computer proficiency required 
• Familiarity with Central Reach preferred but not required
• Familiarity with ABA services preferred but not required
• Proficiency in Excel preferred but not required

Benefits & Perks

As part of the CSD team, you'll enjoy:

• Competitive compensation: $60,000-75,000 annually
• Bonus eligibility
• Paid time off (PTO)
• 401k
• CSD-issued cell phone
• Free college or tuition reimbursement through our Dreams Come True program
• Opportunities for professional growth

Physical Requirements

• Frequent sitting, typing, and computer work.
• Occasional walking, bending, reaching, and lifting (up to 20 lbs).
• Occasional driving for client or team meetings.

Join Us!

If you're looking to be part of a passionate team dedicated to making a difference in the lives of individuals with autism and other developmental needs, we'd love to hear from you.

CSD is a proud equal opportunity employer. All applicants will be considered without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Pursuant to applicable State and local laws, including but not limited to the San Francisco Fair Chance Ordinance, we will consider qualified applicants with arrest and conviction re