Referral Specialist II-4 at Centene Corporation (Orlando, FL)

| Orlando, FL
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You could be the one who changes everything for our 26 million members as a Customer Care professional at Centene. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations and act as trainer and mentor to less experienced staff.
• Provide technical support to staff and provide ongoing training.• Initiate authorization requests for output or input services in keeping with the prior authorization list.• Research claims inquiry specific to the department and the responsibility.• Process referrals and refer, when appropriate to Case Managers.• Screen for eligibility and benefits. Answer phone queues and faxes within established standards.• Data enters authorizations into the system.

Education/Experience: High school Diploma or equivalent. Bilingual in Spanish preferred. 3+ years of customer service experience. Knowledge of medical terminology preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.
More Information on Centene Corporation
Centene Corporation operates in the Healthtech industry. The company is located in Saint Louis, MO, Smyrna, GA, Columbus, GA and Sunrise, FL. Centene Corporation was founded in 1984. It has 19000 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 311 open jobs at Centene Corporation, click here.
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