Centene is looking for an Insurance Verification Specialist to join our mission of transforming community health. In this role, you will obtain and verify complete insurance information, handle inbound calls, and resolve claim rejections to ensure smooth patient care.

What You'll Do

Obtain and verify insurance eligibility for services provided and document complete information in the system.
Perform prior authorizations as required, including procuring needed documentation from physician offices and insurance companies.
Collect clinical information such as lab values and diagnosis codes.
Determine a patient’s financial responsibilities as stated by their insurance.
Configure coordination of benefits information on every referral.
Ensure assignment of benefits are obtained and on file for Medicare claims.
Bill insurance companies for therapies provided.
Document all pertinent communication related to collection procedures with patients, physicians, and insurance companies.
Identify and coordinate patient resources for reimbursement, such as copay cards and assistance programs.
Handle inbound calls from patients, physician offices, and insurance companies.
Resolve claim rejections for eligibility, coverage, and other issues.
Perform other duties as assigned and comply with all policies and standards.

What We're Looking For

A high school diploma with 1+ years of medical billing or insurance verification experience.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.