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Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Appeals Specialist II

GeneralGeneralFull TimeRemoteJuniorTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Michigan

Posted

3 days ago

Salary

$20 - $34 / hour

Seniority

Junior

High School1 yr expExperience acceptedEnglish

Job Description

Appeals Specialist II

Centene Corporation

• Supports the documentation and processing of appeals, disputes and reconsiderations • Ensures they are in accordance with state and NCQA requirements • Performs data entry to support the tracking, logging, and processing of appeals • Prepares correspondence for appeals, disputes and reconsiderations • Maintains documentation files and reviews requests • Conducts research needed to evaluate, process, and respond to appeals

Job Requirements

  • High School diploma or GED
  • 1 – 2 years of related experience
  • Knowledge of appeals, disputes and reconsiderations process preferred

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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