Manager, Intake & Insurance Verification
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
- 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
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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Are you ready to make a significant impact on the health of our communities? At Centene, we are on a mission to transform the health of our 28 million members, and we need a passionate Manager of Intake & Insurance Verification to join our dynamic team. This remote position based in Florida allows you to tackle the exciting challenges that come with managing all activities related to intake, referral management, and insurance verification. You will have the rewarding job of developing and implementing strategies for monitoring and improving the quality of our services. You'll work closely with various teams to establish work directions, set performance expectations, and resolve issues to ensure timely completion of deliverables. Your analytical skills will shine as you evaluate current procedures for compliance and make necessary enhancements. In this role, you'll also be responsible for tracking new patient admissions in collaboration with our sales team, ensuring smooth and efficient processes. By identifying trends in verification processes, you will play a critical role in minimizing financial risk while maintaining the integrity of our enrollment and insurance verification data. With competitive pay ranging from $68,700 to $123,700 and a comprehensive benefits package, including flexibility to work remotely, we can't wait to see how you'll contribute to our team at Centene!
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Transforming the health of the community, one person at a time.
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