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:

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

Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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