Manager, Intake & Insurance Verification

Centene Corporation • Remote-FL, FL

7d • $70,100 - $126,200

About The Position

Manage activities related to intake, referral management, and insurance verification, including implementation of initiatives. The role oversees department workflows, quality, deadlines, compliance, and reporting to support timely and accurate referral processing, patient admission tracking, and insurance verification. It also evaluates intake and related program activities, identifies trends in incomplete or inaccurate verification, and develops processes to address exceptions and minimize financial risk.

A bachelor's degree in a related field or equivalent experience is required, along with at least four years of intake or insurance verification experience. Experience in major medical insurance verification and knowledge of Intravenous Immunoglobulin, Home Infusion, and IV Drug Management are preferred. Applicants must be authorized to work in the U.S. without current or future employment-based visa sponsorship.

Requirements

• Bachelor's degree in a related field or equivalent experience.
• At least 4 years of intake or insurance verification experience.
• Must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship.

Nice To Haves

• Experience in major medical insurance verification.
• Knowledge of Intravenous Immunoglobulin, Home Infusion, and IV Drug Management.

Responsibilities

• Develop indicators for monitoring and evaluating work quality and adherence to turnaround-time standards.
• Establish work directions, resolve problems, and set performance expectations and deadlines to ensure timely completion of department deliverables.
• Evaluate current procedures and practices and implement changes to ensure compliance with applicable laws, regulations, and contractual requirements.
• Ensure referral-processing and turnaround-time deadlines are met for assigned programs.
• Maintain current quality-control processes to protect the integrity of enrollment and insurance verification data.
• Develop and ensure consistent processes for tracking new patient admissions in coordination with the sales team.
• Evaluate intake and related program activities for process consistency and recommend changes.
• Identify trends in incomplete or inaccurate verification processes and develop workflows to address exceptions and minimize financial risk.
• Ensure accurate, timely, and efficient reporting for intake core processes.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules
• Additional forms of incentives may be included in total compensation, subject to applicable factors and eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager