Wellstar Health System · 2 weeks ago
Manager PAS PSO Prior Authorizations
Marietta, GA
Full-time
Onsite
Mid, Senior LevelWellstar Health System is dedicated to enhancing the health and well-being of every person they serve. The Manager of PAS PSO Prior Authorizations is responsible for leading staff and coordinating activities to ensure effective operations in prior authorizations, while also maintaining high standards of customer service and compliance.
FitnessHealth Care
Responsibilities
Coordinates and controls the staff and activities to promote the highest level of effectiveness in meeting established goals and objectives
Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity, and initiative
Ensures adherence to policies and procedures, improvement in employee engagement, quality and excellence of work performed, world class customer service, and continual staff education
The key areas of responsibility include Prior Authorizations for scheduled services
The Manager will continually monitor Key Performance Indicators as established for PAS and ensure PAS PreService Operations is meeting or exceeding each goal
Developing corrective action plans and communicating them to the PAS Director PreService Operations
Supporting the development of a compliance with the annual operating and capital plans
Maintaining positive working relationships with key PAS stakeholders
Demonstrates professionalism, effective communication skills and active listening skills
Responsible for the effective leadership of Supervisors, Team Leads, and PAS staff
Assists with the daily planning, organizing, prioritizing and management of Patient Access Service operations
Demonstrates effective leadership skills, providing direction to the Supervisors in the performance of their supervisory functions
Collaborates with Administrators, Executive Directors, and Directors to design and implement services that facilitate the vision of WellStar and facility-specific objectives
Motivates employees to excel
Contributes to cohesive group relations, cooperation, and teamwork
Holds staff accountable for meeting Key Performance Indicators including Prior Authorization completion rates for scheduled services, productivity, quality of work performed by direct reports, and monitoring initial denial trends
Collaborates with PAS Revenue Cycle leadership to develop and implement goals, objectives and Action Plans for the department
Represents the department at various WHS PAS meetings and functions
Participates in special projects
Assumes accountability
Responsible for the ongoing management of daily operational functions of the assigned team(s) within the department
Completes and coordinates employee performance reviews and annual evaluations
Works closely with management team in the hiring, counseling, dismissals, promotions and transfer of employees
Mentors and coaches team to promote effective and productive leadership within the department and culture of accountability
Monitors absenteeism and ensure that counseling is consistently given for noncompliance with WellStar Health System policies and procedures
Maintains updated PAS personnel files
Maintains orderly and clean work environment, commensurate with the public expectations of a healthcare organization
Assures PAS PreService Operations Prior Auth team is enforcing WellStar/department dress code
Assures PAS PreService Operations Prior Auth team has appropriate equipment and supplies to perform job duties
Available to assist staff needs 24/7
Maintains ongoing communication with other departments, keeping the PAS PreService Operations Director aware of more complex problems and opportunities
Conducts regular meetings with staff
Ensures information is disseminated to staff
Reviews and analyzes departmental reports regarding productivity, quality and performance measures
Implements appropriate action to ensure data is within acceptable limits
Interacts with Directors and Managers from many departments regarding a myriad of issues
Resolves patient, physician, interdepartmental and other customer issues in a timely and appropriate manner
Demonstrates ability to tactfully handle difficult situations through an approach that reflects consistency and fairness
Monitors facility and area customer service scores, taking appropriate action to stay within acceptable limits
Maintains positive relationships with other department personnel
Pursues excellence in all areas related to customer service, including service recovery
Works collaboratively and as a team member with hospital leadership
Partners with Human Resources to achieve desired organizational culture, staffing and workforce metrics
Fosters positive working relationships between staff and physicians across the Health System
Fosters a culture that focuses on patient satisfaction, safety, customer service, staff participation, collaboration, motivation, and effective communication
Develops and monitors the departmental budget
Ensures monthly variance reports are accurate and thorough
Responsible for monitoring and maintaining Prior Auth completions prior to scheduled services
Collaborates effectively with other department Managers to maximize throughput to minimize wait times
Conducts studies to improve productivity, streamline operations and reduce error rates
Manages resources and supplies efficiently to administer cost effective services to the community
Resolves errors and applicable Claim, DNB and Patient WorkQueues
Monitors and ensures maintenance of accounts, DNB/Denials, claim, patient, and other related Workqueues that impact the Revenue Cycle
Coordinates monthly Denial resolution for assigned inventory
Ensures quality and drives resolution of initiatives which impact the overall health of the Revenue Cycle
Monitors processes to adhere to any regulatory requirements set by state, federal and/or governing bodies
Supports and participates in department and facility performance improvement efforts
Ensures appropriate participation and management of area and department involvement in performance improvement projects
Analyzes results of PI projects and implements changes for improvement
Collaborates with direct reports to implement and complete appropriate PI projects in support of WHS vision and mission
Facilitates intra-department coordination, standardization and outcome targets for key access processes including: scheduling, data collection, insurance verification, authorization, registration, admitting and bed control
Coordinates with outpatient clinics and ancillary services, physician practices, referral hospitals, community and public agencies, and WellStar Health Systems bed control staff to streamline patient access procedures
Assists with the development and maintenance of the department Policy & Procedure
Develops and monitors appropriate policies to ensure compliance to continually improve PAS services
Respects and maintains the privacy of patients personal/protected health information
Adheres to and educates staff about the importance of HIPAA and patients personal health information
Assures that all PAS personnel are trained in corporate compliance, Fraud and Abuse, including maintaining the integrity of billing and coding related activities
Builds a culture of trust and engagement as reflected in the Great Place to Work Trust Index Survey at a direct report, workgroup and hospital/entity level
Holds leaders accountable for behaviors that create trust and engagement
Performs all duties and responsibilities of this position in a manner that reflects the values of WellStar
Maintains and strengthens relationships with physicians and assures their involvement in developing systems to assure the growth of the service and the cost effective delivery of quality patient care in a manner that fosters patient and employee satisfaction
Provides assistance with staff training, departmental projects and presentations, as needed
Maintains a working knowledge of all Patient Access Service functions, employee positions and job requirements
Attends outside workshops and classes to ensure a competency level that is beneficial to the department, as well as to meet minimum requirements in technology advances/applications
Sets challenging and productive goals for team
Holds team accountable for actions while providing leadership and motivation
Provides resources and support
Uses checkpoints and data to track progress, setting up system and processes to measure results
Seeks opportunities to improve workflow and efficiency by embracing automation where possible
Qualification
Required
Bachelor's Degree in business, healthcare or related field
All certifications are required upon hire unless otherwise stated
CHAA - Cert Healthcare Access Assoc or CHAM - Cert Healthcare Access Mgr or CHFP - Cert Healthcare Financial Prof or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep
Strong interpersonal, analytical, problem solving and writing skills
Must be comfortable interacting with department Directors and Administrators and able to perform a wide variety of tasks that require independent judgement, ingenuity, and initiative
Proficient with MS office
Demonstrates professionalism, effective communication skills and active listening skills
Company
Wellstar Health System
The largest health system in Georgia.
Founded in 1993
10001+ employees
H1B Sponsorship
Wellstar Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (22)
2024 (18)
2023 (13)
2022 (14)
2021 (18)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Candice L. Saunders
President and CEO
B
Beth Kost-Woodrow
Senior Vice President and Chief Compliance Officer
Recent News
BiometricUpdate.com
2025-10-28
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