Inpatient Services Supervisor

<p><b>Minimal to zero supervision to review, evaluate, and process Letters of Authorization (LOA) following established procedures and professionally explain coverage and non-coverage details during Member’s Availment Guide (MAG) discussion with admitted members. </b></p><p><b><br /></b></p><p><b>Analyze escalations and address concerns related to internal and external partners regarding eligibility, coverage (professional fees, miscellaneous &, etc.), and procedures within the standard turn-around time. </b></p><p><b><br /></b></p><p><b>Offer first-hand solutions for captured complaints and endorse them to internal departments (MRG, UEF, Sales) as necessary.</b></p><p><b><br /></b></p><p><b>Offer and steer members to the Maxicare Primary Care Networks, Preferred Partners, and Low-Cost Facilities, while highlighting Maxicare's exclusive benefits including recommended packages, and assisting members in understanding the available services.</b></p><p><b><br /></b></p><p><b>Works directly with the immediate superior in meeting the team and company’s common goal. Prepare and submit reports ensuring that data is accurate and comprehensive.</b></p><p><b><br /></b></p><p><b>Execute various campaigns and tasks as needed during manpower shortages, business continuity planning (BCP) events, or when Service Level (SL) for other teams or sub-units are critically low, ensuring operations remain smooth and responsive to immediate demands.</b></p>