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Job Description
- Req#: 1486908
- Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies.
- Updates and maintains correspondence templates based on regulatory, and interdepartmental correspondence inquiries.
- Coordinates all data collection, analysis, and reporting activities that impact the denial process.
- Assists with the compliance and turn-around time (TAT) log for all correspondence notifications.
- Performs other duties as assigned.
- Complies with all policies and standards.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Candidate must live in central, mountain or pacific time zone.
Hiring four candidates. One for each work shifts list below:
Tues-Fri 10am-7pm Central Time, Sat 9am-6pm Central Time
Mon-Fri 10am-7pm Central Time
Wed-Fri 10am-7pm Central Time, Sat and Sun 9am-6pm Central Time
Sun 9am-6pm Central Time, Mon-Thurs 10am-7pm Central Time
Position Purpose: Generates, processes and maintains provider and member correspondence for preservice and concurrent review.
Education/Experience: Requires a High School diploma or GED.
Pay Range: $19.24 - $32.69 per hour
Requires 1 – 2 years of related experience. Knowledge of denials process including understanding medical record information preferred. Knowledge of medical terminology preferred.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
About the company
Centene Corporation is a publicly traded managed care company based in St.
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