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Centene Corporation Authorization Research Specialist I in Lenexa, Kansas

Position Purpose:

Perform duties to ensure that authorization errors are corrected that could interfere with claims processing. Resolve authorization issues that impact claim denials, reconsiderations, or appeals. Troubleshoot other authorization & system errors as identified. Review authorization related check runs for claims and system configuration accuracy. Review and respond to non-clinical medical review authorization appeals.

  • Perform duties to ensure that authorization errors are corrected that could interfere with claims processing.

  • Resolve authorization issues that impact claim denials, reconsiderations, or appeals.

  • Troubleshoot other authorization & system errors as identified.

  • Review authorization related check runs for claims and system configuration accuracy.

  • Review and respond to non-clinical medical review authorization appeals.

  • Receive and respond to internal and external authorization related issues.

Education/Experience:

High school diploma or equivalent. Bachelor’s degree preferred. 3+ years of managed care environment experience with knowledge of the authorization process, Medicaid benefits and customer service experience. 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. TITLE: Authorization Research Specialist I LOCATION: Lenexa, Kansas REQNUMBER: 1224447 COMPANY: Administrative & Operations support POSITION TYPE: Both

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