RCM Auth Manager

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.

With over 60 clinics across 7 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.

We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.

Reporting to the RCM Director of Patient Access Services, the RCM Authorization Manager serves as a key operational leader responsible for overseeing and optimizing the daily functions of the Authorization Department. This role manages all pre-determination, prior authorization, and medical necessity workflows across the revenue cycle to ensure timely approvals, reduce denials, and safeguard reimbursement. The Manager leads state-based authorization teams, collaborates closely with clinical and operational stakeholders, and drives standardization, performance improvement, and compliance across all payers and service lines.

The ideal candidate is highly analytical and operationally strong, with deep front-end revenue cycle expertise and a demonstrated ability to reduce authorization-related denials and revenue leakage.

• Lead and manage daily prior authorization operations across all locations.
• Ensure authorizations are obtained accurately and timely prior to date of service.
• Oversee workload distribution and productivity; Track and mitigate revenue at risk due to missing, delayed, or incorrect authorizations.
• Conduct regular performance evaluations and provide constructive feedback to support employee growth while growing a culture of accountability.
• Hire, train, coach, and develop authorization supervisors and authorization staff.
• Identify and resolve operational bottlenecks, escalating issues and proposing solutions to the Director when necessary.
• Partner with Denials Management/Appeals, and Coding teams to identify root causes and implement corrective actions.
• Develop and track key performance indicators (KPIs) to measure departmental success and identify areas for improvement.
• Ensure departmental compliance with federal, state, and local regulations, including HIPAA.
• Maintain up-to-date payer authorization rules, policies, and plan requirements and create policy update communications to the clinical staff.
• Prepare and present performance reports to senior leadership, highlighting trends, challenges, and actionable insights.

Competencies: 

• Operational Excellence: Drives operational excellence by streamlining processes, optimizing workflows, and leveraging technology to enhance efficiency and accuracy.
• Regulatory Compliance: Stays abreast of evolving healthcare regulations and ensures compliance with federal, state, and local laws and industry standards.
• Team Leadership: Builds, motivates, and leads high-performing teams, fostering a culture of collaboration, accountability, and continuous improvement. Encourages an inclusive and positive work environment that fosters growth and mutual respect.
• Problem-Solving and Decision-Making: Possesses strong problem-solving and decision-making skills to address complex issues and challenges within the revenue cycle.
• Communication and Interpersonal Skills: Communicates effectively with stakeholders at all levels, including patients, physicians, staff, and executives, to build strong relationships and resolve issues.
• Data Analysis and Reporting: Leverages data analytics to identify trends, measure performance, and make data-driven decisions to improve revenue cycle outcomes.

Required education and experience

• 5+ years of progressive experience in Revenue Cycle or Patient Access.
• 3+ years of leadership experience managing authorization or front-end RCM teams.
• Deep knowledge of:
• Prior authorizations
• Medical necessity requirements
• Payer rules (commercial, Medicare, Medicaid)
• Authorization-related denials
• Familiarity with EHR/RCM systems and payor portals.
• Strong organizational and leadership skills with a proven ability to manage hybrid teams effectively.
• Excel and dashboard/reporting experience preferred
• High School Diploma or equivalent (GED)

Preferred education and experience

• Experience with Athena Practice
• Excel and dashboard/reporting experience preferred

Location: Hybrid / Remote. Applicants should be prepared for up to 10% travel.

The Metro Vein Centers Difference

Healthy legs. Happier lives.
At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust.

A team united by purpose.
Our values guide everything we do:

• Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for.
• Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients.
• A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy.
• Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes.
• Commitment to Growth – We invest in our people, fostering advancement and professional development at every level.

Metro Vein Centers is an Equal Opportunity Employer.
We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.

Legal & Compliance Notice:
Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.

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