Centene Corporation

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

Healthcheck Coordinator II

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

9 days ago

Salary

$23 - $40 / hour

No structured requirement data.

Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 

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

25% Travel is required.

Position Purpose: Coordinate preventive health care and promote compliance with preventive care guidelines through member outreach. Serve as a liaison between the health plan and members, providers, organizations, and agencies supporting preventive services

  • Perform member outreach via phone, mail, health fairs, and various events to educate members on the importance and availability of health check services
  • Assist members with scheduling appointments, follow up services, and transportation to attain necessary services
  • Coordinate and participate in various committees and meetings to improve member health outcomes, including distributing informational and promotional items
  • Assess and evaluate member compliance reports for health check activities for improvements
  • Develop and maintain relationships with community contacts, schools, organizations, and agencies to pursue outreach engagements
  • Assist providers with contacting members to obtain health check services. Educate and assist providers with proper documentation of services, billing and coding, and various activities
  • Resolve complex member issues and act as the subject matter expert for other Healthcheck Coordinators.

Education/Experience: High school diploma or equivalent. 3+ years of customer service experience in Medicare, Medicaid managed care or insurance industry.

License/Certification: Valid driver's license.

Pay Range: $23.23 - $39.61 per hour

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

Related Categories

Related Job Pages

More Medical Billing and Coding Jobs

Balancing Coordinator

Victaulic

Victaulic is an Equal Employment Opportunity (EOE/M/F/Vets/Disabled) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, gender, color, religion, national origin, age, disability, veteran status, sexual orientation, genetic data, or other legally protected status.

Medical Billing and Coding9 days ago
Full TimeRemoteTeam 5,001-10,000

The Balancing Coordinator will handle administrative and order management tasks related to Company HVAC hydronic/balancing solutions, working closely with the outside sales team. Key duties include acting as a liaison for inquiries, serving as a subject matter expert for quotes, and managing all quote/order related activities accurately and timely.

United States
$50K - $55K / year
Full TimeRemoteTeam 51-200

The specialist will assess health record documentation to ensure assigned codes support all diagnoses and procedures, applying knowledge of clinical processes and terminology to assign accurate ICD-10 and CPT codes, particularly for surgical procedures in inpatient, observation, and day surgery settings. This role also involves performing charge data entry into patient accounting systems and consulting with various hospital personnel regarding coding and billing accuracy.

United States
Medical Billing and Coding9 days ago
Full TimeRemoteTeam 10,001+Since 1915H1B Sponsor

The Coordinator Supervisor will manage a team of project coordinators overseeing monthly billing processes, including required documentation uploads to third-party systems. This role also involves working with customers and internal departments to resolve payment collection issues and other project-related concerns.

United States
$98.8K - $138K / year
Full TimeRemoteTeam 10,001

Key responsibilities involve reviewing provider-submitted coding in EPIC against clinical documentation, resolving edits, and addressing clearinghouse rejections and claim edits across various work queues. The role also requires analyzing post-bill denials and recommending coding updates to resolve issues.

United States