Provider Reimburse Administrator

Elevance Health is seeking an experienced and organized Provider Reimbursement Administrator to join our dynamic team. Our ideal candidate is a highly motivated and detail-oriented individual who is passionate about delivering exceptional customer service and delivering accurate reimbursement to our providers. The Provider Reimbursement Administrator will be responsible for processing and accurately managing provider claims, ensuring timely payments, and performing provider audits.The successful applicant will possess a comprehensive understanding of provider reimbursement policies and procedures, experience with medical billing, and have excellent organizational, communication, and problem-solving skills. They must be highly adept at working both independently and as part of a team and be able to work in a fast-paced environment. If you are an experienced provider reimbursement administrator who is looking to join a fast-growing healthcare organization, we would love to hear from you.

Responsibilities:

1. Process and accurately manage provider claims in accordance with reimbursement policies and procedures
2. Ensure timely and accurate payments to providers
3. Perform provider audits to ensure compliance with reimbursement policies and procedures
4. Monitor provider activity to ensure accuracy and integrity of payments
5. Maintain up-to-date knowledge of provider reimbursement policies and procedures
6. Provide excellent customer service to providers
7. Analyze and resolve reimbursement-related issues in a timely manner
8. Develop and implement strategies to improve provider reimbursement process
9. Collaborate with other departments to ensure efficient and accurate reimbursement
10. Monitor and report on provider reimbursement trends
11. Stay up-to-date on changes to healthcare regulations and laws

According to JobzMall, the average salary range for a Provider Reimburse Administrator in St. Louis, MO, USA is $33,000 to $48,000. Factors such as education, experience, and certifications can affect an individual's salary range.

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.