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Anthem, Inc.

Medicaid Claims Resolution Analyst (Indiana HIP Medicaid Claims Experience) - Work From Home (Indian)

Anthem, Inc. - Denver, CO

Medicaid Claims Resolution Analyst (Indiana HIP Medicaid Claims Experience) - Work From Home (Indian

Anthem, Inc

Denver

CO

Job #656210384

Medicaid Claims Resolution Analyst (Indiana HIP Medicaid Claims Experience) - Work From Home (Indianapolis Preferred) - PS5686

New

Location:

Indianapolis, Indiana, United States

Field:

Claims

Requisition #:

PS5686

Post Date:

2 days ago

Your Talent. Our Vision

At Anthem Blue Cross and Blue Shield

, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and 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 the future of health care

. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Location: Work from home, preferably in Indianapolis.

The Claims Resolution Analyst

is responsible for coordinating the resolution of claims issues by actively researching and analyzing systems and processes that span across multiple operational areas.

Primary duties may include, but are not limited to:

Investigates and facilitates the resolution of claims issues, including incorrectly paid claims, by working with multiple operational areas and health plans and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing.

Identifies the interdependencies of the resolution of claims errors on other activities within operations.

Assists in the reviews of state or federal complaints related to claims.

Coordinates the efforts of several internal departments to determine appropriate resolution of issues within strict timelines.

Interacts with network providers and health plans regularly to manage customer expectations, communicate risks and status updates, and ensure issues are fully resolved.

Performs claims and trend analysis, ensures supporting documentation is accurate and obtains necessary approvals to close out claims issues.

Requires a BA/BS; 3 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience, which would provide an equivalent background.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at ~~~/careers. EOE. M/F/Disability/Veteran.

Updated 05/07/2018

18 days 15 hours ago

Anthem, Inc.

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Medicaid Claims Resolution Analyst (Indiana HIP Medicaid Claims Experience) - Work From Home (Indian) Anthem, Inc. - Denver, CO, United States

   

Location: Denver, CO

Company Profile:
The company was formed when WellPoint Health Networks Inc. and Anthem, Inc. merged in 2004 to become the nation's leading health benefits company. The parent company originally assumed the WellPoint, Inc. name at the time of the merger. In December 2014, WellPoint, Inc. changed its corporate name to Anthem, Inc. The Anthem brand is built on a foundation of trust – it’s the name consumers are most familiar with as a trusted health care partner through our affiliated health plans. Anthem, Inc. is one of the largest health benefits companies in the United States. Through its affiliated health plans, Anthem companies deliver a number of leading health benefit solutions through a broad portfolio of integrated health care plans and related services, along with a wide range of specialty products such as life and disability insurance benefits, dental, vision, behavioral health benefit services, as well as long term care insurance and flexible spending accounts. Headquartered in Indianapolis, Indiana, Anthem, Inc. is an independent licensee of the Blue Cross and Blue Shield Association serving members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in other states.