Manager Of Authorization Support / Call Center Operations
★ Supports the delivery of positive patient experiences by managing three direct report call center/operations supervisors, 45 indirect report Medical Management Assistants, 15 PSR/Call Center staff members, and 10 claims staff members.★ Entrusted with HR responsibilities that include time and attendance reporting, as well as performance management and improvement planning for on-site and remote locations.★ Sustains compliance with the company’s agreement with Veterans Affairs, including adherence to quality and timeliness standards across all departments.★ Supports referral management, medical documentation review, and non-clinical staff working on medical/surgical referrals and authorizations.★ Serves as a liaison between the Medical Management department and the Provider Services, Provider Education, and Claims departments.★ Improved the performance of the Clinical Service line team, enhancing workflows, processes, procedures, and employee engagement. Within four months, improved performance metrics from 30% to 50% of goal to 96% to 100%.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT TRIWEST HEALTHCARE ALLIANCETriWest Healthcare manages health benefits under the United States Department of Veterans Affairs VAPCCC program in Regions 3, 5, and 6.