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Provider Reimburse Admin

Location:

  • VA, Norfolk

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Description

Location: Remote; candidate does not need to reside in posted state

Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.

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 provider education opportunities.

•             Translates medical policies into reimbursement rules.

•             Analyzes and monitors claims data.

•             Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.

•             Prepares correspondence to providers regarding correct coding practices.

•             Conducts internal coding reviews as required.

•             Prepares and presents reports defining observations and recommendations.

•             Interfaces with Corporate Special Investigation Unit on identification and referral of potential fraud.

•             Interfaces with local Health Plan representatives regarding provider education initiatives.

•             Performs other duties as assigned.

Minimum Requirements:

•             Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills:

•             CPC certification required.

•             Experience in health insurance reimbursement, medical billing, medical coding, auditing, or health data analytics preferred.

•             Requires strong oral and written communication skills, excellent analytical and problem solving skills, strong decision making skills, ability to manage multiple tasks in a demanding work environment, appreciation of cultural diversity and sensitivity towards target membership population, high energy level, self-motivating and able to handle several projects at a time.

•             Proficiency with MS Outlook, Word and Excel required.

•             Experience with MS Access preferred


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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