Correspondence Specialist

Centene

221d • $20 - $34

About The Position

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Shifts will be Monday through Friday working 1pm EST - 10pm EST. Position Purpose: Generates, processes and maintains provider and member correspondence for preservice and concurrent review. Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies. Updates and maintains correspondence templates based on regulatory, and interdepartmental correspondence inquiries. Coordinates all data collection, analysis, and reporting activities that impact the denial process. Assists with the compliance and turn-around time (TAT) log for all correspondence notifications. Performs other duties as assigned. Complies with all policies and standards.

Requirements

• Requires a High School diploma or GED.
• Requires 1 - 2 years of related experience.
• Knowledge of denials process including understanding medical record information preferred.

Responsibilities

• Generates, processes and maintains provider and member correspondence for preservice and concurrent review.
• Generates correspondence from EMR documentation.
• Ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies.
• Updates and maintains correspondence templates based on regulatory and interdepartmental correspondence inquiries.
• Coordinates all data collection, analysis, and reporting activities that impact the denial process.
• Assists with the compliance and turn-around time (TAT) log for all correspondence notifications.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED