Job Description

Position Purpose:

Manage the workflow and all activities related to the investigation, review, resolution, recovery and settlement of complex claims issues along with Revenue Cycle Management.

Key Details: Applicants for this job have the flexibility to work remote from home anywhere in the United States.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

• Supervise the daily tasks and manage work flow of the recovery & revenue cycle management team to ensure performance standards are met.
• Monitor, evaluate and communicate business processes changes to the team, including aging review meetings.
• Investigate and respond to escalated or complex issues.
• Assist team with responding and resolving questions or issues from customers.
• Monitor and analyze various reports, including aging activity, accounts receivable credits, and cash to revenue.
• Monitor unapplied payments for missing EOB and communicate to the team what needs to be obtained.
• Serve as the internal point person for questions and concerns related to recoveries and revenue cycle management.
• Monitor in and outbound customer and insurance payer calls to ensure service level standards are met.
• Responsible for employee management including hiring, motivating, coaching and counseling staff.
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:

Bachelor’s degree or equivalent experience. 2+ years of medical billing, recovery, or revenue cycle management experience. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

Pay Range: $56,200.00 - $101,000.00 per year

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