Claims Analyst

Centene Corporation•Remote-MO, MO

19h•$16 - $27•Remote

About The Position

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
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 basic claims training programs within 6 months of hire required.

Nice To Haves

Working knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology preferred.
Experience with Medicaid or Medicare claims preferred.

Responsibilities

Process first time claims
Apply policy and provider contract provisions to determine if claim is payable
Research and determine 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
Performs other duties as assigned
Complies with all policies and standards