Position Purpose:
Scan, track and process claims, documents, and claims correspondence. Research claim error reports to ensure quality and production standards are met.
Ensure claims and correspondence are retrieved, sorted, logged, and scanned according to established procedures
Process claims daily to include performing Intelligent Key Entry (IKE) and Validation (VAL); processing batch files including Optical Character Recognition (OCR), Electronic Data Interface (EDI) or other electronic submissions such as 837 files; processing offline claims including member receipts
Process outgoing mail and track postage use, including FedEx/UPS shipments, and prepare daily reports
Maintain folding machine and postage machine
Assist with close out mailings including Explanation of Benefits (EOB), checks, and correspondence
Assist with updates and changes to procedures in the workflow
May be required to lift up to 20 lbs. on a regular basis
Education/Experience:
High school diploma or equivalent. 6 months of medical office, claims or processing experience. Working knowledge of claims processing methodology.
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.
To apply for this job please visit www.centene.com.
