Position Purpose: Perform all activities related to collections

• Verify insurance eligibility for services provided
• Verify insurance eligibility for all accounts with questionable status or billing addresses
• Perform price negotiations and discounts related to collections
• Identify patient resources pertaining to reimbursement
• Inform patients of financial responsibilities as stated by insurance company
• Review and audit accounts from aging reports for missing payments
• Collect reimbursement for billed and aged accounts
• Process daily correspondence to successfully appeal third-party carriers
• Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
• Submit adjustments to account receivable register
• Correct errors, reimbursements for accounts, and resolve billing issues

Highly Preferred Experience & Skills

Insurance Verification

Knowledge of Major Medical and PBM Claims

Major Medical 2-3 years experience

Excellent Customer Service Skills

Medical Billing

Collections experience

MS Excel proficient

Experience working remotely

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act