IVX Health

Manager

• Lead and mentor the intake and prior authorization teams, ensuring an outstanding patient onboarding experience
• Collaborate with local, regional, and national teams to drive process improvements and resolve issues effectively
• Play a strategic role in onboarding new markets, working with leadership to develop a clear roadmap for success
• Oversee training and development efforts to ensure your team is fully equipped to excel
• Develop, review, and maintain intake processes, language, and training materials, ensuring compliance with company standards
• Track performance, identify potential issues, and ensure that patient access functions run smoothly and efficiently
• Conduct market and legislative research to stay ahead of trends and regulations in patient access and healthcare delivery
• Manage and lead department-specific projects that support overall business goals
• Oversee centralized scheduling, financial counseling, copay assistance, and prior authorization processes
• Ensure patients are financially and medically cleared for treatment
• Work with internal teams and external stakeholders to streamline onboarding and resolve issues
• Mentor and develop team members and support new market launches

Manager, Prior Authorization, Pre-Registration

Credentialing Specialist

• Maintain individual provider files with up-to-date information for governmental and commercial payer credentialing applications
• Credential new providers and re-credential current providers with clinics where they hold staff privileges
• Facilitate completion of payer practitioner linking applications
• Manage and maintain contracts, licenses, and credentials for current providers
• Communicate regularly with payers regarding fee schedules, updates, and relevant documentation
• Develop, implement, and monitor processes and procedures for quality, efficient, and cost-effective contracting and credentialing services
• Ensure the credentialing program complies with health plans, State and Federal regulations, Medicare, Joint Commission, IMQ, AAAHC, and other accrediting bodies
• Track enrollment status with organizations, agencies, affiliates, and third-party payers
• Maintain accurate provider profiles on CAQH, PECOS, and CMS databases
• Maintain databases for active provider files, including Verity and Availity