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Claims Analyst II (Vision)

North Carolina, United States, US•Posted Jul 11, 2023
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Company
Centene Corporation
Description
You could be the one who changes everything for our 26 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 Review claims to ensure compliance with established claim entry and claim payment policies and procedures

Required 1+ years of eye care claims processing experience, including eligibility and ICD10/CPT codes.
  • Complete claims adjustments working with large datasets from an internal ticketing system
  • Managing large dataset in MS Access and using MS Excel to process daily workflows
  • Consistently review process and offer recommendation on enhancements
  • Meet quality and production standards
  • Act as a subject matter expert to Claims staff
  • Completely remote role, but candidate will need to support east coast business hours of 8-5pm est
Education/Experience High school diploma or equivalent. 1+ years of eye care claims processing experience, including eligibility and ICD10/CPT codes.

Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.
Identifier
cf26aafd739dd558426d13d8b69cba29
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