Audit and Reimbursement Analyst

Welcome to Elevance Health, where we are dedicated to providing exceptional healthcare services to our community. We are currently seeking a highly skilled and detail-oriented Audit and Reimbursement Analyst to join our team. This position plays a crucial role in ensuring the accuracy and compliance of our financial processes, allowing us to continue providing top-notch care to our patients. We are looking for individuals who possess strong analytical skills, a keen eye for detail, and a thorough understanding of healthcare reimbursement principles. If you are passionate about making a positive impact in the healthcare industry and have the necessary qualifications, we would love to hear from you.

1. Conduct thorough audits of healthcare reimbursement processes to ensure accuracy and compliance with industry standards and regulations.
2. Analyze financial data and reports to identify any discrepancies or errors that may affect reimbursement.
3. Collaborate with various departments to gather necessary information and documentation for audits.
4. Prepare detailed reports and presentations on audit findings, including recommendations for improvement.
5. Stay updated on changes in healthcare regulations and reimbursement guidelines to ensure compliance.
6. Assist in the development and implementation of policies and procedures related to reimbursement processes.
7. Monitor and track reimbursement claims to ensure timely and accurate payments.
8. Conduct data analysis and provide insights to improve reimbursement processes and financial performance.
9. Communicate with healthcare providers and insurance companies to resolve any reimbursement issues.
10. Train and educate staff on proper reimbursement procedures and regulations.
11. Maintain accurate and organized records of audits and reimbursement processes.
12. Collaborate with the finance team to ensure accurate and timely financial reporting.
13. Uphold the organization's mission and values by providing exceptional and compassionate healthcare services to the community.

According to JobzMall, the average salary range for a Audit and Reimbursement Analyst in Tampa, FL, USA is $59,000 - $80,000 per year. This may vary depending on the specific company, experience level, and education of the individual.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.