VisaliaRecruiter Since 2001
the smart solution for Visalia jobs

Provider Reimburse Admin

Company: Anthem, Inc
Location: Visalia
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, Visalia , Provider Reimburse Admin, Administration, Clerical , Visalia, California

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


Receptionist
Description: Description br br Now is the time to join River Lakes Dental Group and Orthodontics. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to (more...)
Company: River Lakes Dental Group and Orthodontics
Location: Bakersfield
Posted on: 03/26/2020

Administrative Assistant
Description: Adecco is currently assisting a local medical facility, recruiting for Administrative Assistant jobs in Fresno, CA. This Administrative
Company: Adecco Staffing, USA
Location: Fresno
Posted on: 03/27/2020

Data Entry Specialist/Administrative assistant
Description: We are seeking a Data Entry Specialist/Administrative assistant -to join our team You will be responsible for providing top-notch customer service and driving sales to meet weekly monthly and quarterly (more...)
Company: Amazon
Location: Visalia
Posted on: 03/30/2020


Operations Specialist Admin
Description: I.OverviewThe Operations department serves as a support system for employees, customers, and the leadership team. Our purpose is to ensure all site operations are executed safely and successfully each (more...)
Company: ManpowerGroup
Location: Fresno
Posted on: 03/25/2020

Administrative Assistant
Description: Adecco is currently assisting a local medical facility , recruiting for Administrative Assistant jobs in Fresno, CA. This Administrative
Company: Adecco Staffing
Location: Fresno
Posted on: 03/24/2020

Provider Reimburse Admin
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 (more...)
Company: Anthem, Inc
Location: Visalia
Posted on: 03/28/2020

Business Office Associate (Part Time)
Description: 7281 - Bakersfield - 6801 Colony Street, Bakersfield, California, 93307 br br CarMax, the way your career should be br Provide an iconic customer experience br br Ensuring today's customers (more...)
Company: carmax
Location: Bakersfield
Posted on: 03/25/2020

Data Entry Specialist/Administrative assistant
Description: We are seeking a Data Entry Specialist/Administrative assistant -to join our team You will be responsible for providing top-notch customer service and driving sales to meet weekly monthly and quarterly (more...)
Company: Amazon
Location: Clovis
Posted on: 03/30/2020

Administrative Assistant
Description: br br Pridestaff is looking for an Administrative Assistant br br Pay will depend on experience br br Summary br br Under the direct supervision of the vice president this position provides (more...)
Company: PrideStaff
Location: Fresno
Posted on: 03/27/2020

Office Assistant
Description: DescriptionThis position will require the candidate to successfully handle multiple assignments and projects simultaneously. An expanding construction company is in need of a highly-skilled and experienced (more...)
Company: Robert Half Office Team
Location: Visalia
Posted on: 03/24/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Visalia RSS job feeds