Claims Analyst

Centene Corporation

Claims Analyst ensuring timely processing of pending medical claims for Centene. Verifying, updating claims information and maintaining production and quality standards in a remote capacity.

Posted 7/30/2026full-timeRemote • Florida, Montana, North Carolina, Texas • 🇺🇸 United StatesJunior💰 $16 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in medical claims processing, including verification, eligibility determination, and compliance with company protocols. Familiarity with ICD-9/10, CPT, HCPCs, and experience with Medicaid or Medicare claims are essential for success in this role.

Highest-signal resume keywords

Medical Claims ProcessingICD-9/10 KnowledgeCPT KnowledgeMedicaid Claims ExperienceMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingReimbursement Eligibility ReviewBasic Math FunctionsMedical TerminologyRecord Maintenance

Soft Skills

Attention to DetailOrganizational Skills

Tools & Technologies

Microsoft WordMicrosoft Excel

Industry Keywords

Health Insurance IndustryClaims ProcessingPhysician's OfficeMedicareMedicaid

About the role

Key responsibilities & impact

Ensure timely processing of pending medical claims
Verify and update information on the submitted claims
Review work processes to determine reimbursement eligibility
Ensure payments and/or denials are made in accordance with company protocols and procedures
Process first time claims
Apply policy and provider contract provisions to determine if claim is payable
Research and determine status of medical related claims
Maintain records, files, and documentation as appropriate
Meet and maintain department production and quality standards
Successfully complete additional progressive claims training programs as required
Performs other duties as assigned
Complies with all policies and standards

Requirements

What you’ll need

High school diploma or equivalent
1 year of health insurance industry, claims processing, physician’s office or other office services experience
Proficiency and experience using computers with Microsoft Office (Word, Excel, etc.)
Ability to perform basic math functions
Working knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology preferred
Experience with Medicaid or Medicare claims preferred.

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