Provider Reimburse Admin Sr
| Company | Elevance Health |
|---|---|
| Location | Indianapolis, IN, USA, Houston, TX, USA, Nashville, TN, USA, Washington, DC, USA, Morristown, NJ, USA, Richmond, VA, USA, Iselin, Woodbridge Township, NJ, USA, Chicago, IL, USA, Mason, OH, USA, Norfolk, VA, USA, New York, NY, USA, Atlanta, GA, USA |
| Salary | $76296 – $124848 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Mid Level, Senior |
Requirements
- 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.
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.
Preferred Qualifications
- RN; Medical billing and coding certification strongly preferred
- Outpatient coding experience preferred.
- CPC highly preferred
- AAPC highly preferred