Join Centene's Medical Management/Health Services team as a Team Associate, where you will support office operations and enhance the member experience. This role involves managing authorizations, researching claims, and assisting members with care transitions, all while contributing to a diverse and dynamic workplace.
Key Responsibilities
Initiate authorization requests for services
Research claims inquiries
Screen for eligibility and benefits
Identify members without a PCP and refer to Member Services
Perform transition of care duties
Answer calls on switchboard and assist walk-in customers
Produce and mail routine CM letters and educational materials
Data entry of assessments and authorizations
Required Qualifications
High school diploma or equivalent
1 - 2 years of related experience
Thorough knowledge of customer service
Utilization review or claims processing practices in a managed care environment
Operation of office equipment
Preferred Qualifications
Experience using Excel at an intermediate level
Effective written and verbal communication skills
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules