Reporting to the Director of Centralized Insurance Verification – Enterprise RCM, The Insurance Verification Manager will provide training, instruction and guidance to the Enterprise VOB team. This role is responsible for the oversight of verification operations across multiple facilities, ensuring efficiency and customer service, while also managing staff and implementing USPI policies. The Insurance Verification Manager is accountable to performance results and collaborating internally and externally to drive revenue cycle and reimbursement initiatives. This role helps to develops an environment and culture that embraces continuous improvement and innovation to ensure best practices are achieved in all areas of the revenue cycle. This role will coordinate with other cross functional areas that impact or support RCM to ensure appropriate collaboration and system wide efficiency of operations. Responsibilities: - Manages team members as assigned ensuring quality of work meets and exceeds USPI standards. - Develop and maintain key performance indicators and outcomes. - Exhibits superior management skills that emphasize team-building and strong leadership with the ability to provide clear direction, while also functioning as an individual contributor. - Maintains current knowledge of patient scheduling, registration/intake processes and systems, medical necessity review, insurance eligibility verification and authorization, and billing models. - Continuously evaluates and is expected to be actively involved in ensuring all patient access operations are well-managed, delivering excellence in quality standards, consistently meeting the organizations and client expectations. - Conduct routine reviews of work completed; leveraging findings to identify training needs for system education, industry updates and changes in processes and protocols. - Effective critical thinking, problem solving and decision-making skills. - Flexible work style, tactful, poised, and patient. Ability to handle pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion. - Adapts quickly to changing conditions, assimilating new processes into job functions and taking ownership. - Other duties as assigned. Qualifications: - Must have been employed with USPI for a minimum of 6 months and is currently meeting and exceeding expectations - Must have prior verification, authorization or financial counseling experience with an understanding of Revenue Cycle Processes, cause and effect on A/R and cash results. - Sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis. - The ability to communicate effectively, both verbally and in writing, with internal and external clients. - Work independently to identify and resolve complex client problems. - Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards. - Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems. Intermediate knowledge of Word, Excel, PowerPoint, Access, and Outlook.

• Own end to end new business sales for commercial P&C insurance, from inbound lead to bind • Manage 25-50 warm inbound opportunities daily while meeting activity and revenue targets • Advise SMB clients on coverage options and basic risk management practices • Quote, market, and place admitted commercial insurance products • Partner with carriers to identify and secure appropriate coverage solutions • Use Coverdash’s quoting platform and AMS to generate and bind policies • Expand expertise in carrier guidelines, underwriting fundamentals, and product offering to increase close rates

You could be the one who changes everything for our 28 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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Supports the documentation and processing of appeals, disputes and reconsiderations to ensure they are in accordance with state and National Committee for Quality Assurance (NCQA) requirements. Support the team to ensure appeals, disputes and reconsiderations are reviewed and processed timely. - Performs data entry to support the tracking, logging, and processing of appeals, disputes and reconsiderations in accordance with established regulatory and accreditation guidelines and procedures - Prepares correspondence for appeals, disputes and reconsiderations and maintains documentation files - Reviews and investigates appeals, disputes and reconsiderations requests to determine applicable follow up - Conducts research needed to evaluate, process, and respond to appeals, disputes and reconsiderations to ensure a timely decision - Prepares case files including supporting documentation and determinations needed to review, process, and report the appeals, disputes and reconsiderations - Gathers appeals, disputes and reconsiderations data to track and report on trends and final outcomes to team including conducting outreach for an update on statuses, determinations, and explanations - Performs other duties as assigned - Complies with all policies and standards - Schedule: 8:30am-5:00pm EST Education/Experience: Requires a High School diploma or GED. Requires 1 – 2 years of related experience. Knowledge of appeals, disputes and reconsiderations process preferred. Experience reviewing medical/clinical documents preferred. Claims processing experience highly preferred. Pay Range: $20.39 - $34.71 per hour 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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

• Quote, bind, and issue new auto and home policies • Review client accounts to identify coverage gaps and cross-sell opportunities • Manage renewals, endorsements, and rewrites • Provide clear policy explanations, claims guidance, and ongoing client service • Maintain accurate records in the Agency Management System • Prospect for and initiate new business opportunities • Answer and manage inbound calls