Claims Examiner I-Ops

About This Gig

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to 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. ***Remote Role. Highly preferred that candidate resides in the state of CA. Candidates that reside in/or around Los Angeles may occasionally report to the local office. Seeking a candidate with a Pharmacy Tech background.*** Position Purpose: Review claims for adjudication, adjustment, billing, coding, compliance and reimbursement Review, process and resolve pending medical, hospital and prescription claims Maintain appropriate rec

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