Position Purpose: Supervise the day to day operations of the intake area; with direct supervision to the Intake Specialists
Supervise day to day activities of the Intake Specialists including work flow, training, hiring, etc.
Ensure deliverables reported to the State entity occurs within established time frames
Respond to State inquiries in a timely manner per department procedure
Implement work processes ensuring establishment of and continuity of services for Members through the assessment process
Assist subcontractors, Members and/or internal customers with cases pertaining to referral and assessment questions, issues and authorizations
Reconcile standardized reports in a timely manner per department procedure
Review and process assessment letters, maintain logs, and coordinate decisions to external or internal personnel per plan procedures
Facilitate ongoing process meetings with external partners and stakeholders
Audit reporting related to authorizations, correspondence and clinical record-keeping to ensure compliance with department procedure
Address Member complaints utilizing established procedure
Education/Experience: Bachelor's degree or equivalent experience. 3 years of referral and authorization, intake, customer service, claims processing or provider relations experience preferably in a managed care setting.
Strong proficiency in MS office applications, esp Excel. Familiar with clinical record systems (i.e. CCMS) and claims systems (i.e. Amisys and MACESS). Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.
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.