Supervisor, Referral Services Jobs in Austin at Superior HealthPlan
Title: Supervisor, Referral Services
Company: Superior HealthPlan
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Supervise the day to day operations of the utilization and case management areas
Supervise day to day activities of the Referral Services department including work flow, training, hiring, etc.
Assist providers, members and/or internal customers with cases pertaining to referral questions, issues and authorizations
Reconcile pended claim issues in a timely manner per health plan/department procedure
Review and process denial letters, maintain logs, and coordinate decisions to external or internal personnel per plan procedures
Receive and review incoming phone and case management log reports and determine course of action
Work with analysts and programmers in adapting and testing programs and procedures to adhere to our standard operating procedures
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
High school diploma or equivalent. 3+ years of prior authorization, physician’s office, customer service, claims processing or provider relations experience preferably in a managed care setting. 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.