Claims Analyst II

Centene Corporation

Claims Analyst II ensuring timely processing of complex medical claims for Centene members. Handling reimbursement eligibility and maintaining documentation for claims processing.

Posted 5/27/2026full-timeRemote • Montana • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $33 per hourWebsite

About the role

Key responsibilities & impact

Ensure timely processing of complex pending medical claims
Verify and update information on the submitted claims
Review work processes to determine reimbursement eligibility
Process first time claims with added complexity
Communicate with stakeholders important information needed for successful processing
Maintain appropriate records, files, documentation, etc.
Meet and maintain department production and quality standards
Performs other duties as assigned

Requirements

What you’ll need

High school diploma or equivalent required
Associate degree or equivalent experience preferred
2+ years of health insurance or claims related experience required
Intermediate PC and Microsoft Office skills; basic math proficiency required
Medical coding knowledge (ICD 9/10, CPT, HCPCS) and public program claims experience preferred
Experience with Medicaid, Marketplace, or Medicare claims preferred
3+ years of health insurance industry experience for external candidates

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingICD 9ICD 10CPTHCPCSclaims processingreimbursement eligibilitybasic math proficiencyMicrosoft OfficePC skills

Soft Skills

communicationorganizational skillsattention to detail