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Claims Examiner
Centene Corporation - Little Rock, AR

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Position Purpose:
Review claims for adjudication, adjustment, billing, coding, compliance and reimbursement.

Knowledge/Experience:
High school education or equivalent. 2-4 years of claim processing and medical billing experience in a managed care environment or physician’s office experience preferred.

Position Responsibilities:
  • Review, investigate, adjust and resolve claims, claim appeals, inquiries, and inaccuracies in payment of claims upon request from Claims Supervisor.
  • Review and resolve pending claims.
  • Maintain appropriate records, files, documentation, etc.
  • Conduct Coordination of Benefits inquiries.
  • Enter first time claims into AMISYS, on a limited basis.
  • May process and apply refunds.
  • Work mandatory overtime as needed.

Centene Corporation - 5 months ago - save job - block
About this company
Centene Corporation
52 reviews
Centene is sensitive to the needs of individuals and families enrolled in government-assisted health programs. The company provides managed...