Lead Claims Analyst

Centene

Remote
Base: $23.23 - $39.61 ph; bonus/equity: not specif...
Hybrid
Claims processing experience
Medicaid, marketplace, or medicare claims
Advanced microsoft office skills
Centene is transforming the health of communities by assisting in coordinating daily work functions, providing technical support, and resolving complex claims issues

Job Summary

  • Centene is transforming the health of communities by assisting in coordinating daily work functions, providing technical support, and resolving complex claims issues.
  • The role involves training and mentoring claims analysts, investigating and resolving complex claims, and monitoring quality reviews for accuracy and trend identification.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, tuition reimbursement, paid time off, and flexible work schedules.

Matching Summary

Centene is transforming the health of communities by assisting in coordinating daily work functions, providing technical support, and resolving complex claims issues.

Salary

Base: $23.23 - $39.61 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Claims processing experience
  • Medicaid, Marketplace, or Medicare claims
  • Advanced Microsoft Office skills
  • Medical terminology knowledge
  • ICD-9/10, CPT, HCPCs, revenue codes

Nice-to-have

  • Workplace flexibility
  • Team mentoring and development
  • Root cause analysis
  • Process improvement initiatives

Key Requirements

  • 2+ years claims processing
  • Medicaid, Marketplace, or Medicare claims experience
  • High school diploma or equivalent
  • Completed claims basic training, COB advanced training, and ramp period

Work Rights

Not specified

Tailored Resume

Cover Letter