Claims Analyst

🕒 July 23

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $15 - $27 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 55%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Process first time medical claims • Apply policy and provider contract provisions to determine if claims are payable • Research and determine the status of medical-related claims • Maintain records, files, and documentation • Meet and maintain department production and quality standards • Successfully complete additional progressive claims training programs as required • Perform other duties as assigned • Comply with all policies and standards • Ensure timely processing of pending medical claims • Verify and update information on submitted claims • Review work processes to determine reimbursement eligibility • Ensure payments and/or denials comply with company protocols and procedures

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • High school diploma or equivalent • 1 year of health insurance industry, claims processing, physician’s office or other office services experience • Proficiency and experience using computers with Microsoft Office (Word, Excel, etc.) • Ability to perform basic math functions • Working knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology preferred • Experience with Medicaid or Medicare claims preferred • Ability to successfully complete basic claims training programs within 6 months of hire required for the Claims Business Unit

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity