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Denial Coordinator - Remote Available, Bonus Eligible

Company: Centene Corporation
Location: Leander
Posted on: November 22, 2021

Job Description:

*Applicants for this job have flexibility to work from home within commutable distance to the office. This job is eligible for a $3,000 sign-on bonus.*-You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Generate and process denial letters and Notice of Action (NOA) for pre services, leveling of care and denied medical services.-

  • Maintain the denial and/or appeals logs and assessments in accordance with associated guidelines
  • Responsible for the Medical Management denial process including letter printing, tracking and disposition of letters within contractual guidelines to ensure compliance
  • Serve as the department liaison for all denial and/or appeals issues
  • Train others on denial and/or appeals work processes
  • Prepare monthly, quarterly, and annual reports for denials and/or appeals
  • Review log to ensure compliance with the denial process and turn-around timeframe (TAT) for all denial and/or appeals notificationsOur Comprehensive Benefits Package:
    • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
    • Competitive pay
    • Paid Time Off including paid holidays
    • Health insurance coverage for you and dependents
    • 401(k) and stock purchase plans Tuition reimbursement and best-in-class training and development-Education/Experience:
      High school diploma or equivalent. Associate's degree preferred. 2+ years of related managed care experience and medical terminology.Our Comprehensive Benefits Package:
      • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
      • Competitive pay
      • Paid Time Off including paid holidays
      • Health insurance coverage for you and dependents
      • 401(k) and stock purchase plans
      • Tuition reimbursement and best-in-class training and developmentCentene is proud to offer competitive benefits for this position. -They are available for review at: https://jobs.centene.com/us/en/benefits.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Austin , Denial Coordinator - Remote Available, Bonus Eligible, Other , Leander, Texas

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