OrlandoRecruiter Since 2001
the smart solution for Orlando jobs

Provider Reimburse Admin

Company: Anthem, Inc
Location: Casselberry
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, Orlando , Provider Reimburse Admin, Administration, Clerical , Casselberry, Florida

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


Administrative Assistant
Description: We are looking for an Administrative Assistant to perform a variety of administrative and clerical tasks. Duties of the Administrative Assistant include
Company: Amazon
Location: Orlando
Posted on: 03/28/2020

Receptionist - Part-time - Celebration
Description: DescriptionReceptionist AdventHealth Care Center CelebrationLocation Address: 1290 Celebration Blvd Kissimmee, FL 34747Top Reasons to Work at AdventHealth Care Center Orlando North ul li AdventHealth (more...)
Company: AdventHealth
Location: Kissimmee
Posted on: 03/28/2020

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: Clearwater
Posted on: 03/28/2020


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 br br ELS is hiring for the position of Administrative (more...)
Company: Equity Lifestyle Properties
Location: Kissimmee
Posted on: 03/28/2020

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: Casselberry
Posted on: 03/28/2020

Office Engineer
Description: Position Summary: br The Office Engineer is responsible for daily construction, coordination and administration activities that may include submittal and logging of shop drawings, coding labor and equipment, (more...)
Company: The Middlesex Corporation
Location: Orlando
Posted on: 03/29/2020

Administrative Support Specialist
Description: Administrative Support Specialistjob details: ul li location:Orlando, FL li salary: 15 - 16 per hour li date posted:Thursday, February 20, 2020 li experience:Experienced li job type:Temporary (more...)
Company: Randstad
Location: Orlando
Posted on: 03/26/2020

Training Administrative Coordinator
Description: Cerebral Staffing LLC is looking for a full-time training administrative coordinator join their team on-site at John Deere in Orglando, FL. Qualified
Company: Cerebral Staffing, LLC
Location: Orlando
Posted on: 03/28/2020

Unit Secretary PRN
Description: DESCRIPTION SHIFT: PRN br br SCHEDULE: PRN/Per Diem br br Brandon Regional Hospital is located in the Tampa Bay area along Florida's Gulf Coast. The Hospital is a 438-bed acute care facility offering (more...)
Company: Brandon Regional Hospital
Location: Brandon
Posted on: 03/28/2020

Administrative Assistant - HSRC
Description: Administrative Assistant - HSRCApply now Date:Mar 14, 2020Location:Melbourne, FL, USCompany:RailWorksJob ID: 2363 Administrative Assistant for the Virgin Trains USA Phase II Project that runs between (more...)
Company: RailWorks
Location: Melbourne
Posted on: 03/28/2020

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Orlando RSS job feeds