GlendaleRecruiter Since 2001
the smart solution for Glendale jobs

Provider Reimburse Admin

Company: Anthem, Inc
Location: Glendale
Posted on: March 28, 2020

Job Description:

Provider Reimburse Admin - PS34578Location: Norfolk, Virginia, United StatesNewRequisition #: PS34578Post Date: 16 hours agoYour Talent. Our Vision. At Anthem, Inc. , its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Provider Reimburse Admin In the Office of Norfolk, VA preferred but can be remote within 50 miles from any Anthem office.The Provider Reimburse Admin Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Must be able to successfully perform all the duties of the Provider Reimburse Admin.Primary duties may include, but are not limited to:Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.Translates medical policies into reimbursement rules.Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.Coordinates research and responds to system inquiries and appeals.Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.Performs pre-adjudication claims reviews to ensure proper coding was used.Prepares correspondence to providers regarding coding and fee schedule updates.Trains customer service staff on system issues.Works with provider contracting staff when new/modified reimbursement contracts as needed.Requires a BA/BS degree; 2-3 years related experience; or any combination of education and experience, which would provide an equivalent background.CPC Certification Required.At least 2-3 years experience in multi-specialty coding strongly preferred.Proficiency with MS Outlook, Word and Excel strongly preferred.Experience with MS Access a plus.Medical Auditing Experience Preferred.Anthem, Inc. is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Keywords: Anthem, Inc, Glendale , Provider Reimburse Admin, Administration, Clerical , Glendale, Arizona

Click here to apply!

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

I'm looking for
in category
within


Other Administration, Clerical Jobs


Rooms Division Administrative Assistant - Renaissance Phoenix Downtown Hotel - (20000754)
Description: You were always one of those curious kids who opened every cabinet, peeked behind every door, and never ceased to ask why when given an explanation. Today, you bring your personal style to every experience. (more...)
Company: Marriott International, Inc.
Location: Surprise
Posted on: 04/8/2020

Administrative Assistant
Description: MIRACORP Inc., is a veteran, women-owned firm specializing in federal government contract services. One of our competitive advantages is that we provide services to our customers with a standard of excellence (more...)
Company: MIRACORP Inc.
Location: Gilbert
Posted on: 04/8/2020

Admin Assistant - Part Time - Scottsdale Marriott at McDowell Mountains - (20009659)
Description: Here's To Your Journey with Marriott Hotels Resorts Suites Marriott International portfolio of brands includes both JW Marriott and Marriott Hotels. Marriott Hotels, Marriott Internationals flagship brand (more...)
Company: Marriott International, Inc.
Location: Scottsdale
Posted on: 04/8/2020


Data Entry Clerk
Description: Data Entry Clerk Entry-level job - Work From Home Title: Working From Home Data Entry - Data Entry Working From Home - Working At Home Jobs You must apply on our website www.mommyjobsonline.com APPLY (more...)
Company: Mommy Jobs Online
Location: Glendale
Posted on: 04/6/2020

Administrative Assistant
Description: We are seeking an Administrative Assistant to join our team You will perform clerical and administrative functions
Company: Alco Air
Location: Phoenix
Posted on: 04/6/2020

Administrative Assistant
Description: With a culture of recognition and reputation for excellence, ELS is the ideal organization in which to develop a long and successful career ELS is hiring for the position of Administrative Assistant in (more...)
Company: Equity Lifestyle Properties
Location: Phoenix
Posted on: 04/6/2020

Administrative Assistant - The Westin Kierland Resort & Spa - (20007146)
Description: Here's To Your Journey with Westin At Westin, we are committed to empowering the well-being of our guests by providing a refreshing environment, thoughtful amenities, and revitalizing programming to help (more...)
Company: Marriott International, Inc.
Location: Chandler
Posted on: 04/8/2020

Secretary/Scheduler/NA
Description: Job SummaryThe Cardiac Cath/Angiography Department Secretary/Scheduler/Nursing Assistant supports the vision of the Total Healing Environment and the values of respect, integrity, accountability, commitment (more...)
Company: Yavapai Regional Medical Center
Location: Prescott
Posted on: 04/8/2020

Administrative Assistant
Description: MIRACORP Inc., is a veteran, women-owned firm specializing in federal government contract services. One of our competitive advantages is that we provide services to our customers with a standard of excellence (more...)
Company: MIRACORP Inc.
Location: Mesa
Posted on: 04/6/2020

Back Office Training Coordinator
Description: At American Vision Partners AVP , we're bringing the best together. Our company was created with the affiliation of Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, and the M M Eye Institute. (more...)
Company: American Vision Partners
Location: Tempe
Posted on: 04/6/2020

Log In or Create An Account

Get the latest Arizona jobs by following @recnetAZ on Twitter!

Glendale RSS job feeds