LittleRockRecruiter Since 2001
the smart solution for Little Rock jobs

Provider Reimburse Admin

Company: Anthem, Inc
Location: Little Rock
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, Little Rock , Provider Reimburse Admin, Administration, Clerical , Little Rock, Arkansas

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: What you'll do...Do people think of you as friendly Are you able to work in a fast-paced environment .H R Block is seeking customer-centric seasonal Receptionists who can work in multiple locations with (more...)
Company: H&R BLOCK
Location: Little Rock
Posted on: 04/3/2020

Office Manager
Description: The Little Rock Workforce Development Board seeking qualified candidates Office Manager. 13 br The office manager works directly under the Executive Director. The office manager serves as the primary
Company: AR DEPT OF WORKFORCE SERVICES
Location: Little Rock
Posted on: 03/24/2020

Work for the Best at Home Office
Description: Leading Health Care and Dental Benefits Discount Company is seeking Health Representatives that
Company: Living Healthy
Location: Conway
Posted on: 04/10/2020


Office Engineer - International (Home Office)
Description: SUMMARY br Assists the Technical Coordinator in the review and processing of project construction submittals across all disciplines and offices.--Ensures completeness and correctness of project submittals (more...)
Company: Caddell
Location: Little Rock
Posted on: 03/24/2020

Data Entry
Description: Our organization is Developing quickly and we are searching for Those who are inspired and energetic self starters to join our enterprise. You are going to be a huge part to our achievement as our Customer (more...)
Company: Cormadata
Location: Little Rock
Posted on: 04/7/2020

Customer Sales/Service - Work Online - $20.00 base-appt.
Description: Customer Sales/Service - Work OnlineVector Marketing is looking to fill remote positions in customer sales and service. We provide flexible schedules for anyone looking to make some extra income around (more...)
Company: Vector Marketing
Location: Little Rock
Posted on: 03/22/2020

QA Tester and Data Entry Intern
Description: The Dig QA Tester intern will:- Test and detect defects in potential new features or upgrades to the mobile
Company: Dig - The Dog Person's Dating App
Location: Little Rock
Posted on: 03/29/2020

Administrative Coordinator
Description: OverviewThe Pathology Service Line Specialty Services Administrative coordinator is responsible for a broad range of activities that are critical to the functioning of the Department. The objective of (more...)
Company: UAMS Medical Center
Location: Little Rock
Posted on: 03/23/2020

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: Little Rock
Posted on: 03/28/2020

Administrative Physician - Physicians Only Apply - Perm
Description: Medical Doctors Only Apply. A Administrative Physician practice is seeking a qualified physician for Little Rock, AR. This and other physician jobs brought to you by ExactMD. br br Company:-- br (more...)
Company: MASC Medical
Location: Little Rock
Posted on: 04/3/2020

Log In or Create An Account

Get the latest Arkansas jobs by following @recnetAR on Twitter!

Little Rock RSS job feeds