Claims Examiner I-Ops
Centene Management Company•Los Angeles, CA
•Remote
About The Position
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. Remote Role. Highly preferred that candidate resides in the state of CA. Candidates that reside in/or around Los Angeles may occasionally report to the local office. Seeking a candidate with a Pharmacy Tech background.
Requirements
- High school diploma or equivalent.
- 0-2 years of claim processing or medical billing experience in a managed care environment or physician’s office.
Nice To Haves
- Pharmacy Tech background
Responsibilities
- Review claims for adjudication, adjustment, billing, coding, compliance and reimbursement
- Review, process and resolve pending medical, hospital and prescription claims
- Maintain appropriate records, files, documentation, etc.
- Enter manual claims into claims system
- Work mandatory overtime as needed
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off
- holidays
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
