What are the responsibilities and job description for the Claims Processor I position at Envolve Dental?
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Scan, track and process claims, documents, and claims correspondence. Research claim error reports to ensure quality and production standards are met.• Ensure claims and correspondence are retrieved, sorted, logged, and scanned according to established procedures• Process claims daily to include performing Intelligent Key Entry (IKE) and Validation (VAL) processing batch files including Optical Character Recognition (OCR), Electronic Data Interface (EDI) or other electronic submissions such as 837 files processing offline claims including member receipts
• Process outgoing mail and track postage use, including FedEx/UPS shipments, and prepare daily reports
• Maintain folding machine and postage machine
• Assist with close out mailings including Explanation of Benefits (EOB), checks, and correspondence
• Assist with updates and changes to procedures in the workflow
• May be required to lift up to 20 lbs. on a regular basisEducation/Experience: High school diploma or equivalent. 6 months of medical office claims or processing experience. Working knowledge of claims processing methodology.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.