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SCA Quality Auditor I (PS21435) Indianapolis, IN or Denison, TXLocation: United StatesNewField: Service Contract ActRequisition #: PS21435YourTalent. Our Vision. At National Government Services(NGS) , an independent subsidiary of Anthem, Inc. and one of the largest
Medicare contractors in the country, it’s a powerful
combination. It’s the foundation upon which we’re 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 thefuture of health care .This
is an exceptional opportunity to do innovative work that means more to you and
those we serve.SCA Quality Auditor IWork Location – May reside in eitherIndianapolis, IN or Denison, TXRate of Pay –$16.12/hour Indianapolis, IN$16.00/hour Denison, TXThe SCAQuality Auditor I is responsible for examining and evaluating the
accuracy of transactions in accordance with regulations and company guidelines.Primaryduties may include, but are not limited to:
Identifiesdocuments and reports any transaction errors in a timely manner to ensureprompt resolution.
Appliesexpert knowledge in most areas.
Able toperform simple functions; works under general direction.
· Examines
and evaluates the accuracy of transactions processed by reviewing policy,
procedure and manual input in accordance with guidelines.
Tracks andtrends audit results, providing feedback to management
Generatesmonthly reports of audit findings, supports clients with issuedidentified, develops reports to assist management with informationrequested.
Producesother ad hoc reportsas requested by internal and external clients.
Requires
H.S. diploma or equivalent; 9 months to 1 year related experience; or any
combination of education and experience, which would provide an equivalent
background.Preferredskills
A workingknowledge of the Medicare program is required
Experienceprocessing Provider enrollment applications is preferred
Medicare andMedicaid processing experience; claims, appeals, etc.
PECOS, FISS,and/or MCS platform experience/ working knowledge
Auditing ofoperational transactions experience
Intermediateto advanced MS Office experience
Navigatingthrough SharePoint experience
Strong verbaland written communication skills is required
Must be ableto work in a fast paced/ high volume environment
Anthem, Inc. is ranked as oneof America’s Most Admired Companies among health insurers by Fortune magazineand is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn moreabout our company and apply, please visit us at antheminc.com/careers. EOE.M/F/Disability/Veteran.
Vacancy expired!