Job Details

ID #2653348
State Wisconsin
City Fonddulac
Full-time
Salary USD TBD TBD
Source Anthem, Inc
Showed 2019-08-24
Date 2019-08-24
Deadline 2019-10-23
Category Et cetera
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Network Reimbursement Specialist - Indianapolis, IN/Fond Du Lac, WI - PS26525

Wisconsin, Fonddulac 00000 Fonddulac USA

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Network Reimbursement Specialist - Indianapolis, IN/Fond Du Lac, WI - PS26525Location: Indianapolis, Indiana, United StatesNewRequisition #: PS26525Works with participating providers to resolve reimbursement issues/questions.Primary duties may include, but are not limited to:

May maintain reimbursement data for the accurate processing of claims.

Reviews suspended claims and makes reimbursement determinations.

Responds to back end review inquiries to resolve pricing issues.

Coordinates the process flow of claims from operations to the reimbursement area to accurately and in a timely manner price the claims.

Identifies procedures to price and then develops a price for procedures in order to facilitate automatic pricing.

May accompany provider relations representatives on provider calls when provider questions the rationale behind payments.

Requires a H.S. diploma;

or any combination of education and experience, which would provide an equivalent background.

3-4 years managed care experience in the area of provider relations or claims/customer service preferred.

2 years of Facets experience required

Anthem, Inc. is ranked as one of America’s 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.

Vacancy expired!

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