Intake Representative I

Job not on LinkedIn

🔥 15 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $15 - $27 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.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

• Enter specific data/information from physicians’ requests into a medical management authorization system. • Achieve required production quota and quality standards. • Validate patient and medical provider demographic information, including provider selection by specialty. • Determine patient eligibility for healthcare benefits, Primary Care Manager type, and referral/authorization path. • Contact medical provider offices by telephone and make confirmation calls to patients for urgent requests. • Make decisions to keep the referral/authorization process moving according to contractual timeliness standards. • Redirect patients into the provider network for care as required. • Formulate brief sentences/paragraphs from referral/authorization orders. • Prepare correspondence in business letter format for servicing providers. • Generate letters and verify correct providers, patients, demographics, and service reasons. • Account for personal production using reports containing outcome data. • Track performance, improve work processes, and prioritize tasks. • Review situations, identify problems, recognize patterns, and determine solutions. • Collaborate with co-workers to achieve department goals and provide outstanding customer service.

🎯 Requirements

• Qualified candidates must be located in the state of Missouri. • 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. • Six months experience in a production/data entry environment performing alpha and numeric data entry in a healthcare related organization such as managed care, claims/billing, health insurance, customer service, call center, or claims office preferred. • College course work preferred. • Medically based trade school diploma/certification desired. • Ability to perform alpha and numeric data entry. • Ability to validate patient and medical provider demographic information. • Ability to determine patient eligibility, Primary Care Manager type, and referral/authorization path. • Ability to follow step-by-step instructions and contractual standards. • Ability to formulate brief correspondence in business letter format. • Ability to accurately track production and outcome data. • Ability to review situations, identify problems, recognize patterns, and determine solutions. • Ability to work collaboratively and provide outstanding customer service.

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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

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