SHIFT: Day Job
Your 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 at one of America's leading
health care companies and a Fortune Top 50 Company.
Responsible for the discovery, validation, recovery, and
adjustments of claims overpayments. May do all or some of the
following in relation to cash receipts, cash application, claim
audits collections, overpayment vendor validation, and claim
Primary duties may include, but are not limited to:
+ Audits paid claims for overpayments using various techniques
including systems-based queries, specialized reporting, or other
+ Responsible for more complex issues such as coordination of
benefits, Medicare, and medical policies.
+ Works closely with staff from other departments on a regular
basis to ensure customer satisfaction.
+ Works closely with contract managers to identify and correct
contractual issues when applicable.
+ May perform collection activities to ensure the recovery of
overpayments and maintenance of unprocessed cash and accounts
receivable processes and all other cash applications as
+ Researches voluntary refunds for accuracy.
+ Requires accurate balancing of all accounts.
+ Requires a H.S. diploma; 2-4 years of claims processing and/or
customer service experience; or any combination of education and
experience, which would provide an equivalent background. Associate
degree or higher level degree 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.
Anthem, Inc. is ranked as one of America's Most Admired Companies
among health insurers by Fortune magazine and has been named a 2019
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