Provider Reimburse Admin Sr
Elevance Health(21 days ago)
About this role
A Senior Provider Reimbursement Administrator responsible for ensuring accurate claims adjudication by translating provider contracts, reimbursement and medical policies, and CMS guidelines into reimbursement configuration within FACETS NetworX. The role sits within the Pricing Configuration team at a large health insurance company and supports system and market implementation efforts to maintain compliance and accuracy.
Required Skills
- FACETS NetworX
- DOFR Configuration
- Claims Adjudication
- Provider Contracting
- Pricing Configuration
- Test Claims
- Microsoft Access
- TOAD
- Oracle
- Rate Manager
+7 more
Qualifications
- BA/BS Degree
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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