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Provider Reimbursement Admin Sr.

Company: Anthem, Inc
Location: Fresno
Posted on: February 16, 2020

Job Description:

Provider Reimbursement Admin Sr. - PS33028Location: Indianapolis, Indiana, United StatesRequisition #: PS33028Post Date: Jan 28, 2020Your Talent. Our Vision. At Anthem, Inc., its apowerful combination, and the foundation upon which were creating greater accessto care for our members, greater value for our customers, and greater healthfor our communities. Join us and together we will drive the future of healthcare .Thisis an exceptional opportunity to do innovative work that means more to you andthose we serve atoneof America's leading health benefits companies and a Fortune Top 50 Company.Provider Reimbursement Admin /Sr.Indianapolis, IN is our preferred location - may consider a remote arrangement (up to manager's discretion)The Provider Reimbursement Admin/Sr. will ensure accurate adjudication of claims by ensuring reimbursement criteria is accurate and is effectively carried out in configuration. They will serve as a subject matter expert regarding provider data, claims issues, and reimbursement policy. Primary duties may include, but are not limited to:

  • Works with vendors and enterprise teams to develop and ensure configuration is in compliance with reimbursement policies and edits.
  • Works with other departments on claims adjudication workflow development and business process improvements.
  • May lead the full range of provider reimbursement activities for a state(s).
  • Leads projects related to provider reimbursement and resolution initiatives.
  • Serves as a subject matter expert on provider data and issue resolution.Provider Reimbursement Admin:Requires a BA/BS degree; 2-3 years related experience; or any combination of education and experience, which would provide an equivalent background. Indiana Medicaid experience is preferred.Provider Reimbursement Admin Sr.:Requires a BA/BS degree; 4-6 years related experience; or any combination of education and experience, which would provide an equivalent background. Indiana Medicaid experience is preferred.Anthem, Inc. is ranked as one of AmericasMost Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Keywords: Anthem, Inc, Fresno , Provider Reimbursement Admin Sr., Administration, Clerical , Fresno, California

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