Billing Operations Specialist - Medicare

Centene; Tampa (FL); Remote; Full time

Job summary

A leading healthcare organization is seeking a Billing Operations Specialist to handle escalated Medicare member concerns. This remote role involves resolving billing issues, collaborating with internal teams, and ensuring accurate billing processes. The ideal candidate will have extensive experience in billing and customer service, particularly in Medicare. Centene offers competitive pay and a flexible work environment, making it an excellent opportunity for the right individual.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 3+ years of combined billing/collections, accounting, or customer service experience.
• Strong Medicare or PDP background preferred.

Responsibilities

• Handle escalated billing or healthcare complaints.
• Collaborate with teams to resolve disputes.
• Prepare accurate billing for clients.

Skills

Customer Service

Billing

Collections

Accounting

Medicare

Education

High school diploma or equivalent

Bachelor’s degree in Business Administration

Job description

Billing Operations Specialist - Medicare

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.

Remote Role with training being held locally at the 8725 Henderson Rd, Tampa, FL. Candidates must reside within a reasonable distance to the office location.

Position Purpose:

This is a remote position handling escalated billing or healthcare complaints by making outbound calls to resolve Medicare member concerns. You will research unresolved issues related to categories like claims, enrollment, Pharmacy, Appeals, and Premium Billing.

• Collaborate with internal teams and external clients to research and resolve disputes or discrepancies in billed amounts and payment transactions.
• Prepare timely and accurate billing for external clients.
• Document all collection efforts and transaction records.
• Reconcile member accounts as needed.
• Prepare bad debt write-offs as needed.
• Research and process refunds as needed.
• Maintain low volume in assigned error queues within the billing system.
• Perform other duties as assigned.
• Comply 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 a Bachelor’s degree in Business Administration or a related field.

Preferred Skills:

Strong Medicare or PDP (prescription Drug) background.

Experience de-escalating irate member calls.

Ability to handle a caseload of 40 different members with different concerns.

Workforce Management (WFM) background is beneficial.

Work shifts: 9-5:30, 9:30-6:00, or 10:00-6:30 pm.

Busy season: October - February.

Some Saturday work days – if you work a Saturday, you will get a weekday off.

Pay Range: $19.04 - $32.35 per hour.

Additional Benefits:

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work schedules (remote, hybrid, field, or office).

Actual pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Equal Opportunity Statement:

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

About the company

Centene Corporation is a publicly traded managed care company based in St. Louis, Missouri.