Manager, Intake & Insurance Verification

Centene

257d • $68,700 - $123,700

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manage all activities related to the intake, referral management and insurance verification functions, including implementation of initiatives. Develop indicators for monitoring and evaluating quality of work and meeting turnaround time standards. Establish work directions, resolve problems, and set performance expectations and deadlines to ensure timely completion of all department deliverables. Evaluate current procedures and practices and implement changes ensuring compliance with all related laws, regulations and contractual requirements. Ensure all deadlines related to referral processing and turnaround times for the assigned programs are met. Ensure up to date quality control processes to ensure integrity of enrollment and insurance verification data. Develop and ensure a consistent work process is followed around new patient admission tracking in conjunction with sales team. Evaluate the effectiveness of the intake and related program activities ensuring consistency of work processes and recommend changes. Identify utilization trends of incomplete or inaccurate verification processes and develop appropriate work processes to respond to exceptions and minimize financial risk. Ensure accurate, timely, and efficient reporting for intake core processes.

Requirements

• Bachelor's degree in related field or equivalent experience.
• 4+ years of intake or insurance verification experience.

Responsibilities

• Manage all activities related to the intake, referral management and insurance verification functions.
• Develop indicators for monitoring and evaluating quality of work and meeting turnaround time standards.
• Establish work directions, resolve problems, and set performance expectations and deadlines.
• Evaluate current procedures and practices and implement changes ensuring compliance with all related laws, regulations and contractual requirements.
• Ensure all deadlines related to referral processing and turnaround times for the assigned programs are met.
• Ensure up to date quality control processes to ensure integrity of enrollment and insurance verification data.
• Develop and ensure a consistent work process is followed around new patient admission tracking in conjunction with sales team.
• Evaluate the effectiveness of the intake and related program activities ensuring consistency of work processes and recommend changes.
• Identify utilization trends of incomplete or inaccurate verification processes and develop appropriate work processes to respond to 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree