BatonRougeRecruiter Since 2001
the smart solution for Baton Rouge jobs

Claims Research Specialist

Company: Cenpatico
Location: Baton Rouge
Posted on: December 4, 2019

Job Description:

Claims Research Specialist USA-Louisiana-Baton Rouge Position Purpose: Perform duties to act as a liaison between provider relations, provider services, the health plan and corporate to investigate and resolve claims inquiries. * Receive and respond to internal and external claims related issues. * Initiate entry or change of provider related database information. * Complete claims related research projects. * Assist with responsibilities related to data integrity of provider claims processing system. * Investigate and communicate reimbursement and benefit changes. * Educate provider relations, provider services and claims liaisons regarding policies and procedures related to referrals and claims submission. * Assist providers with resolving issues with claims submission and payment accuracy. * Attend state meetings with regards to fee schedule and benefit changes. * Assist with provider complaints & resolutions regarding claims issues and process claims adjustments. * Review all Medicaid Bulletins for changes and updates and submit change requests (CRs) to update payment system. Education/Experience: High school diploma or equivalent. Bachelor s degree preferred. 3+ years of experience in claims payment processing in government programs and experience in a managed care environment. Knowledge of claims billing and processing functions, Medicaid benefits, and/or customer service. 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. Claims Operations Full-time

Keywords: Cenpatico, Baton Rouge , Claims Research Specialist, Other , Baton Rouge, Louisiana

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Professional Armed Security Officer
Description: OverviewWe are North America's leading security services provider with over 200,000 phenomenal employees. At Allied Universal, we pride ourselves on fostering and promote from within culture.-- There (more...)
Company: Allied Universal
Location: Baton Rouge
Posted on: 12/9/2019

Truck Driver Trainees Needed - PAID Class A CDL Training! (Baton Rouge)
Description: Become a new truck driver for Stevens Transport We can get you trained and earning a pay check in as little as three weeks CDL training can be completed locally Paid CDL Training Train and be based (more...)
Company: Stevens Transport
Location: Baton Rouge
Posted on: 12/9/2019

Teaching Assistant
Description: All Job Postings will close at 12:01a.m. on the specified Posting End Date if designated .Job Posting Title:Teaching AssistantPosition Type:Professional / UnclassifiedDepartment:LSUAM HSE - ED - LSU (more...)
Company: Louisiana State University
Location: Baton Rouge
Posted on: 12/9/2019


Side Project - Get Paid To Advertise On Your Car
Description: We are urgently seeking drivers to advertise on their vehicle for local
Company: Company Confidential
Location: Baton Rouge
Posted on: 12/9/2019

Emergency Room Travel Registered Nurse - ER RN
Description: Registered Nurses RN Emergency Room ER - 2000 Weekly InSync Consulting Services is seeking an Emergency Room ER Registered Nurse RN who will assume responsibility and accountability for the application (more...)
Company: InSync Consulting Services
Location: Baton Rouge
Posted on: 12/9/2019

Regional CDL A Dry Van Truck Drivers - $5,000 Sign On!!
Description: Meadow Lark Hires PROFESSIONAL Drivers - Company CDL A Van or Flatbed with Lease Programs Must Have CDL Class A and 2 Year s Experience Company Drivers: When you apply with Meadow Lark, (more...)
Company: Meadow Lark Transportation
Location: Baton Rouge
Posted on: 12/9/2019

Travel Operating Room Nurse (OR RN), New Hampshire
Description: Travel Operating Room Nurse OR RN New Hampshire Location: New Hampshire Start Date: 12/6/2019 Shift Details: 8H Days 7:00 AM-3:00 PM 40 hours
Company: Triage Staffing
Location: Baton Rouge
Posted on: 12/9/2019

Part Time Cake Decorator
Description: Job Description Performs all duties related to cake, tart, pastry, and special-order decoration. Creates appealing designs on all specialty bakery goods. All Whole Foods Market Retail jobs require ensuring (more...)
Company: Whole Foods
Location: Baton Rouge
Posted on: 12/9/2019

Registered Nurse - Surgery - OR Circulator
Description: Description SHIFT: Days rotating weekends SCHEDULE: Full-time Are you looking for that next great move in your career Here is a unique opportunity. We are looking for a highly skilled Registered Nurse (more...)
Company: HCA
Location: New Orleans
Posted on: 12/9/2019

OTR CDL A Owner Operator Truck Drivers - $5,000 Sign On Bonus!
Description: OTR Owner Operators Van or Flatbed Lease Purchase Many Locations Must Have CDL Class A and 2 Year s Experience Enjoy the lifestyle you ve earned Meadow Lark offers professional, experienced (more...)
Company: Meadow Lark Transportation
Location: Baton Rouge
Posted on: 12/9/2019

Log In or Create An Account

Get the latest Louisiana jobs by following @recnetLA on Twitter!

Baton Rouge RSS job feeds