at Anthem, Inc in Wilmington, Delaware, United States
DescriptionSHIFT: Day Job
SCHEDULE: 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.
A Provider Pay Reconsider Analyst supports the Payment Dispute process across all lines of business and is specifically responsible for the resolution of Provider Payment Reconsideration requests.
Primary duties include, but are not limited to:
+ Reviews and analyzes provider requests to investigate the outcome of claim payment or denial.
+ Determines the appropriate resolution using strict adherence to internal guidelines, policies, and procedures.
+ Must work with various departments, when necessary, to determine root cause and appropriate resolution. Must remediate impacted claims.
+ HS diploma or GED and a minimum of 3 years experience working in claims or customer service, ; or any combination of education and experience which would provide an equivalent background.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. 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. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions. REQNUMBER: PS58270