Lead Membership Accounting Rep

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.
 

**Working hours 8-5PM PST time only**

Position Purpose: With the Membership and Accounting Operations team, the Lead Membership Account Representative coordinates workflow and assists with supervision of unit staff to ensure allocation of payments, reconciliation and audit of employer group accounts. Handles escalated and/or complex issues. Ensures quality and productivity goals are met by coaching, feedback and assistance with complex issues. Acts as a Subject Matter Expert on various committees in the department of company wide initiatives.

• Allocates, calculates and processes complex and escalated employer group payments; reviews unapplied cash report for guidance.
• Coordinates and monitors daily processing for the staff to maintain eligibility database within departmental guidelines and goals. Handles escalated calls/issues for the Membership Accounting Reps.
• Monitors the unit’s schedule for sufficient coverage. Reviews aging of forms, while continually re-prioritizing based on departmental needs.
• Participates in the establishment and review of departmental goals and implements procedures and performance standards. Ensures goals are communicated to staff.
• Prepares reports and documentation concerning departmental activities. Reviews weekly auditing reports.
• Monitors processing, tracks and delegates work based on departmental goals, backlogs and ensures equitable distribution.
• Reviews weekly auditing reports for accuracy and maintains accuracy and production tracking logs.
• Works with staff to reconcile audit discrepancies and resolve eligibility questions. Reviews/analyzes returned audit tickets. Identifies training/performance gaps.
• Ensures action plans are in place to reduce backlog and effect resolution to ongoing issues.
• Mentors and trains new associates. Advises and/or counsels staff members on correct procedures.
• Responds to phone calls from other service centers and internal units.
• Encourages associates in the units to assist other units as necessary.

Education/Experience: Associate’s Degree in Business or Health Care or related experience is preferred. (4) years membership accounting or related experience.

Preferred Skills:

Excel, Microsoft

PowerPoint, Nice, Sharepoint

Excellent Leadership, Communication and Decision making skills

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