Responsible for reviewing and releasing pending claims; processing Member Receipts and serving as a back-up to manual claim entry. Responsible for completing corrected claims adjustments and ensuring quality and production standards are met.
High school education or equivalent. At least 1 year of claim processing experience including eligibility and ICD9/CPT codes.
- Review and release pended claims
- Assist in manual claim entry and member reimbursement
- Review claims to ensure compliance with established claim entry and claim payment policies and procedures
Centene Corporation - 14 months ago
Centene is sensitive to the needs of individuals and families enrolled in government-assisted health programs. The company provides managed...