Billing Operations Specialist - Escalation Team Medicare

Position Purpose

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. This role receives back office escalation cases received via a queue or email box and / or real-time live chats from our Medicare Customer Service representatives needing support.

Collaborate with internal team and external client to research and resolve any disputes or discrepancies in billed amounts and / or payment transactions

Prepare timely and accurate billing for external clients

Document all collections efforts and transaction records

Reconcile member accounts as needed

Prepare bad debt write-off as needed

Research and process refunds as needed

Maintain low volume in assigned error queues within the billing system

Performs other duties as assigned

Complies with all policies and standards

Education / Experience : High school diploma or equivalent and 3+ years of combined billing / collections, accounting or customer service experience or Bachelor's degree in Business Administration or related field.

Preferred Skills : Proficiency in multi-tasking across multiple systems and applications simultaneously Ability to navigate and manage multiple monitors (typically 23) efficiently for real-time data entry and customer interaction. Strong computer literacy, including Microsoft Office Suite (Outlook, Teams, Excel, Word) Web-based applications and cloud tools (e.g., SharePoint)

Pay Range : $19.04 - $32.35 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