Pre-Authorization Director

Insurance Authorization Director (Healthcare BPO)

Job Summary

The Insurance/Pre - Authorization Director is responsible for leading and overseeing the end-to-end prior authorization and insurance verification operations within a healthcare BPO environment. This role ensures compliance with payer requirements, improves authorization turnaround times, and drives operational excellence while managing large teams and client relationships.

Key Responsibilities

• Lead and manage prior authorization and insurance verification teams across multiple accounts
• Develop and implement strategies to improve approval rates, turnaround time, and productivity
• Ensure compliance with payer guidelines, HIPAA regulations, and client-specific requirements
• Collaborate with clients, providers, and internal stakeholders to resolve authorization issues
• Monitor KPIs such as authorization success rate, d...