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Elevance Health · 1 day ago

Provider Reimbursement Administrator Senior

Wallingford, CT

Full-time

Hybrid

Mid, Senior Level

4+ years exp

Elevance Health is a health company dedicated to improving lives and communities, and they are seeking a Provider Reimbursement Administrator Senior. This role is responsible for ensuring accurate adjudication of claims and serves as a subject matter expert regarding reimbursement policies and coding conventions.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Works with vendors and enterprise teams to develop enterprise reimbursement policies and edits, ensuring policies and edits do not conflict with Federal and state mandates

Works with other departments on claims adjudication workflow development and business process improvements

May lead the full range of provider reimbursement activities for a state(s)

Leads projects related to provider reimbursement initiatives

Serves as a mentor to less experienced administrators

Qualification

Medical billingCodingClaim edit experienceRNAAPC/AHIMA certificationMentoring

Required

Requires a BA/BS degree and a minimum of 4 years related experience; or any combination of education and experience, which would provide an equivalent background

Preferred

RN; Medical billing and coding certification strongly preferred

Medical billing and coding certification AAPC/AHIMA strongly preferred

Claim edit experience strongly preferred

WGS and/or GBD Facets experience preferred

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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