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.
 

Position Purpose: To accurately key meta data fields from member/provider correspondence documents into designated software to populate into downstream systems. Within the workflow system, accurately perform triage research on specific assigned document types to move to final team for resolution and send letter correspondence to providers. Review work processes/work flows to determine proper processing procedure. Meet established department production and quality standards.

• Review and log all correspondence received for timeliness, COB related information, informal and formal appeals
• Create and send correspondence relating to payment or denied claims decisions
• Distribute reports to the appropriate departments as necessary
• Receive and respond to inquiries, requests and issues from internal and external customers
• Mandatory overtime is required

Education/Experience: High school diploma or GED. 1 year of claims processing, medical billing, administrative, customer service, physician's office or other office services experience. Proficient operating a 10-key/alpha keyboard. Microsoft office experience preferred.

Pay Range: $15.58 - $22.25 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