Centene Management Company LLC is looking for a Claims Analyst dedicated to transforming the health of our communities. In this role, you will ensure the timely and accurate processing of pending medical claims, verifying information and determining reimbursement eligibility.
What You'll Do
- Process first-time claims
- Apply policy and provider contract provisions to determine if a claim is payable
- Research and determine the status of medical-related claims
- Maintain records, files, and documentation as appropriate
- Meet and maintain department production and quality standards
- Successfully complete additional progressive claims training programs as required
- Perform other duties as assigned
- Comply with all policies and standards
What We're Looking For
- High school diploma or equivalent
- 1 year of health insurance industry, claims processing, physician’s office, or other office services experience
- Proficiency and experience using computers with Microsoft Office (Word, Excel, etc.)
- Ability to perform basic math functions
- Ability to successfully complete additional progressive claims training programs within 12 months of hire
Nice to Have
- Working knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology
- Experience with Medicaid or Medicare claims
Technical Stack
- Microsoft Office (Word, Excel, etc.)
Benefits & Compensation
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
- Compensation: $15.58 - $26.73 per hour
Work Mode
This position offers a flexible approach to work with remote, hybrid, field, or office schedules and is open to candidates across the United States.
Centene is an equal opportunity employer committed to diversity, valuing the ways in which we are different. All qualified applicants receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by law.
