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Provider Reimburse Admin / Sr (Job family) - PS 14010 (Any Anthem location or remote)

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Provider Network Management
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PS14010 Requisition #
Thanks for your interest in the Provider Reimburse Admin / Sr (Job family) - PS 14010 (Any Anthem location or remote) position. Unfortunately this position has been closed but you can search our 808 open jobs by clicking here.
Provider Reimb Admin / SR qualifications:  
The SR level requires a BA/BS degree; 4+ years (2+ for junior level) related experience; or any combination of education and experience, which would provide an equivalent background
 
Both levels must have demonstrated knowledge and experience in the areas which is required for the role and this experience must be included in the related or equivalent experience to meet the basic qualifications listed.
Requirements:
  • FACETS pricing configuration or benefit build experience
  • FACETS NetworX experience
  • Able to run Microsoft Access queries in relation to Facets
  • Previous experience in care payer operations to include claims processing, claims auditing, claims testing and/ or claims research
  • Must know how to read and analyze a contract (physician, ancillary and hospital)
  • Able to implement PCAs and load fee schedules
  • Able to use full range of Microsoft Office products proficiently
 
Preferred skills and experience:
  • Medicare or Medicare/Medicaid experience
  • Direct experience in healthcare provider configuration and/or provider data management utilizing FACETS
  • Knowledge of CPT/HCPCS coding
  • Certified coder
  • Experience working with the implementation of new business in a health insurance industry setting
 
In addition to the above skills and experience, the SR level would need to possess the ability to perform backend table updates using Microsoft Access or SQL
 
Please note, we currently have one opening for this position and level will be determined upon candidates' skills, experience and education.   This position may be located in any Anthem site location or remote. 
 
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran

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