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Supervisor, Intake Specialist Jobs
Company | Health Net |
Address | , , Ca |
Employment type | FULL_TIME |
Salary | $52,900 - $95,200 a year |
Expires | 2023-07-20 |
Posted at | 1 year ago |
You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Supervise the day to day operations of the intake area; with direct supervision to the Intake Specialists- Ensure deliverables reported to the State entity occurs within established time frames
- Audit reporting related to authorizations, correspondence and clinical record-keeping to ensure compliance with department procedure
- Facilitate ongoing process meetings with external partners and stakeholders
- Respond to State inquiries in a timely manner per department procedure
- Supervise day to day activities of the Intake Specialists including work flow, training, hiring, etc.
- Implement work processes ensuring establishment of and continuity of services for Members through the assessment process
- 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
- Address Member complaints utilizing established procedure
- Assist subcontractors, Members and/or internal customers with cases pertaining to referral and assessment questions, issues and authorizations
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.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
Pay Range: $52,900.00 - $95,200.00 per year-
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