Centene Corporation

Compensation

Full Description

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. *Applicants for this job have the flexibility to work remote from home anywhere in the United States. *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: Analyzes, executes, and reviews bulk requests for claims automation including validating eligibility for automation, to ensure accuracy of claims data upon project completion. Reviews, investigates, adjusts/resolves claims, claims appeals, inquiries, and inaccuracies in payment of claims. Supports all internal and external customers with automation questions/issues. Analyzes requests for eligibility for BOT/Macro automation that are received from either CCP (Cenpas Claims Projects) or direct Ad-hoc requests from the business on SharePoint. Questions or concerns with project instructions are sent to the Claims Process Review (CPR)/Claims Liaison (CL)/or requestor. Executes request by submitting analyzed requests to the automation tools. Monitors and corrects identified for errors along the way. Reviews for accuracy is completed. Identified errors are corrected. Results, ineligible, and fallout claims are reported, and project moved to the next step of manual team or closure. Supports internal and external customers with questions/concerns by reviewing, investigating, adjusting claims, claims appeals, inquiries, and/or inaccuracies in payment of claims projects worked. Participates in internal upskill trainings or required Centene courses. Education/Experience: High school diploma or equivalent. 1+ year of claims related, claim processing or medical billing experience. Working knowledge of Microsoft Office applications. Advanced Macro Express knowledge and technical background preferred. Pay Range: $19.04 - $32.35 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.