Revenue Reconciliation Analyst - Medicaid

Centene

Pittsburgh, PA, US
$19.43 - $32.98 ph; not specified; not specified
**
Reconcile enrollment and revenue data
Analyze and validate 834 enrollment data
Analyze and validate 820 payment data
** Centene is seeking a Revenue Reconciliation Analyst for their Medicaid team in Pittsburgh, PA. The role involves conducting outreach to members, analyzing enrollment and revenue data, and ensuring accuracy in the reconciliation processes. The position is hybrid, requiring two days in the office weekly. **

Job Summary

  • This role supports initiatives by conducting targeted outreach and screening to members via telephone for healthcare alignment opportunities, educating members, and facilitating seamless referrals to drive enrollment and improve overall member outcomes.
  • Reconcile enrollment and revenue data between internal systems and external sources (e.g., state systems) and analyze and validate 834 enrollment data and 820 payment data to ensure accuracy.
  • 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.

Matching Summary

Match Score: 75

** Centene is seeking a Revenue Reconciliation Analyst for their Medicaid team in Pittsburgh, PA. The role involves conducting outreach to members, analyzing enrollment and revenue data, and ensuring accuracy in the reconciliation processes. The position is hybrid, requiring two days in the office weekly. **

Salary

$19.43 - $32.98 per hour; Not specified; Not specified

Skills & Requirements

Must-have

  • Reconcile enrollment and revenue data
  • Analyze and validate 834 enrollment data
  • Analyze and validate 820 payment data
  • Conduct targeted outreach to members
  • Educate members on plan benefits

Nice-to-have

  • Strong customer service skills
  • Professional and empathetic approach
  • Ability to build trust
  • Handle high volume outreach calls

Key Requirements

  • 2+ years of experience in Reconciliation, Auditing, Accounting or Analytics
  • High School or GED
  • Bachelor's degree in a related field may substitute for 2 years' experience

Work Rights

Not specified

Tailored Resume

Cover Letter