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Centene Corporation: Crc Specialist

Centene Corporation

This is a Full-time position in Green Valley, AZ posted October 23, 2021.

**Join our team and earn a $1,000 Sign on Bonus**You could be the one who changes everything for our 25 million members.

Centene is transforming the health of our communities, one person at a time.

As a diversified, multi-national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibilityMake an impact:Our mission is to deliver world-class healthcare solutions to our communities every day.

We need people driven to make a difference and ready to make an impact.

People like you.We are Centene Corporation, and we are working to transform the health of our communities, one person at a time.

At Centene Corporation, you can take advantage of best-in-class technology and learning platforms, as well as flexible work solutions designed to meet the needs of our teammates and our members.As part of our call center group, the member-focused support you deliver will make a difference and change the face of healthcare for Tucson.

Are you ready to make an impact?Who You Are:You are a highly collaborative, strategic risk-taker driven to make a difference and change the face of healthcare.

You thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth.

Delivering patient-focused care while making a real impact is important to you it is what sets you apart!Who We Are:We are revolutionizing the world of healthcare through digital transformation and building world-class healthcare solutions.

Our high caliber teams deliver relevant solutions at the local level and use collective innovation to turn visions into action and challenge what is possible.We are an industry leader with a local focus and a global vision:Listed on Fortune magazines Worlds Most Admired Companies List for 2ndconsecutive yearNational footprint across all 50 states, serving 1 in 15 individuals in the U.S.Recognized as one of the Best Places to Work by the Human Rights Campaign FoundationWhat Youll Do:Respond to customer inquiries via telephone and written correspondence in a timely and appropriate mannerRespond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resourcesProvide assistance to members and/or providers regarding website registration and navigationDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) applicationProcess written customer correspondence and provide the appropriate level of timely follow upMay coordinate member transportation and make referrals to other departments as appropriateMaintain performance and quality standards based on established call center metrics including turn-around timesEnsure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing servicesResearch and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustmentIdentify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reductionOur Comprehensive Benefits Package:Flexible work solutions including remote options, hybrid work schedules and dress flexibilityCompetitive payPaid Time Off including paid holidaysHealth insurance coverage for you and dependents401(k) and stock purchase plansTuition reimbursement and best-in-class training and developmentHigh school diploma or equivalent.

Computer skills and ability to learn new systems.

While previous customer service, call center, healthcare or insurance experience (and in some markets bilingual skills) are preferred they are not required.

We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.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.