**Who this is for** This role is ideal for an organized and meticulous individual with a keen eye for detail, experienced in handling sensitive documentation an
Work type: remote
Location: Remote-NY
Salary: $20 – $35/hr
Type: Full-time
**Who this is for** This role is ideal for an organized and meticulous individual with a keen eye for detail, experienced in handling sensitive documentation and processes. If you thrive in a structured environment and are adept at managing administrative tasks within a healthcare context, this position could be a great fit. **Key highlights** You will play a crucial role in ensuring the accurate and timely processing of appeals, disputes, and reconsiderations, adhering to strict regulatory and accreditation guidelines. This fully remote position offers a stable hourly wage and the opportunity to contribute to the integrity of healthcare services. **You might be a good fit if you...** - Hold a High School diploma or GED. - Have 1-2 years of experience in a related field, preferably with knowledge of appeals processes. - Are proficient in data entry and maintaining organized documentation. - Possess experience reviewing medical documents or claims processing.
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.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.Position Purpose: Supports the documentation and processing of appeals, disputes and reconsiderations to ensure they are in accordance with state and National Committee for Quality Assurance (NCQA) requirements. Support the team to ensure appeals, disputes and reconsiderations are reviewed and processed timely.
Pay Range: $20.39 - $34.71 per hour
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.