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Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At Anthem, Inc., 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 atone of America's leading health benefits companies and a Fortune Top 50 Company.Anthem Workers Compensation Processor I is responsible for processing Workers Compensation (AWC) bills by following AWC policies and procedures.Primary duties may include, but are not limited to:Processes Med ID#s (Pre-Process) and missing Pre-process bill information on incoming files.
Reviews and corrects basic pricing errors.
Assists with administrative projects, copying, scanning, information collection and reports as assigned by management.
Anthem Workers Compensation Processor II is responsible for processing and adjusting Workers Compensation (AWC) bills by following Workers Compensation policies and procedures in alignment with Preferred Provider Organization (PPO) policies and procedures.Primary duties may include, but are not limited to:Reviews and corrects basic and medium complexity pricing errors.
Demonstrates full competency/mastery in own area of work.
Provides timely and accurate resolution of bill issues and adjustments regarding contracts and pricing. Participates in PPO review workflow projects.
Anthem Workers Compensation Processor III is responsible for processing and adjusting Workers Compensation (AWC) Bills by following Workers Compensation policies and procedures in alignment with Preferred Provider Organization (PPO) policies and procedures. Primary duties may include, but are not limited to:Reviews, identifies, and corrects basic, medium and high complexity pricing errors.
Provides timely and accurate resolution of inquiries and issues regarding contracts, pricing, and procedures.
Participates in projects.
Conducts research and resolved issues.
Qualifications Anthem Workers Compensation Processor IMinimum Qualifications;Requires a HS diploma.
Minimum of 1 year of experience with claims processing.
Any combination of education and experience which would provide an equivalent background.
Preferred Qualifications:High speed typing skills, attention to detail and ability to perform focused repetitive work strongly preferred.
Anthem Workers Compensation Processor IIMinimum Qualifications:Requires a HS diploma.
Minimum of 3+ years of experience with claims.
Any combination of education and experience which would provide an equivalent background.
Preferred Qualifications:Understanding the application of WorkersCompensation fee schedules, pricing, processing, policies, and procedures strongly preferred.
Prior Medical Bill Reviewer certification preferred.
Anthem Workers Compensation Processor IIIMinimum Qualifications:Requires a HS diploma.
Minimum of 5 years of experience with claims.
Any combination of education and experience which would provide an equivalent background.
Preferred Qualifications:Understanding of the application of Workers Compensation fee schedules, pricing, processing, policies and procedures strongly preferred.
Prior Medical Bill Reviewer certification preferred.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.REQNUMBER: PS65541
