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Fin Ops Recovery Process Spec

Company: Anthem, Inc
Location: Apple Valley
Posted on: June 6, 2021

Job Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

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 providing technical direction, guidance and resources to associates on a day to day basis.

Primary duties may include, but are not limited to:

+ 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 providing technical direction, guidance and resources to associates on a day to day basis.

Primary duties may include, but are not limited to:

Serves as a first line resource for financial operations associates for workflow and technical related processes.
Provides operational training, assists associates by answering day-to-day technical questions, monitors inventory to ensure workflow remains uninterrupted, and handles complex case research and resolution.
May review and monitor associates work for quality standards.
Reviews department policy and procedure manuals for accuracy and works to ensure procedures and policies are accurate and complete.
May research operations workflow problems and system irregularities.
Assists with the development and testing of process improvement solutions and other operational improvements.

Qualifications

+ WGS Claims processing and claims research experience required.

+ CSBD PrePay or Overpayment Recovery knowledge and experience preferred

+ Ability to analyze workflows, processes, and procedures and identifying improvements;

+ Requires strong and accurate oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

+ Ability to work independently

+ Ability to multi-task

+ Must be organized and have excellent time-management skills

+ Requires a BA/BS degree; up to 3-5 years related experience; previous experience in high-volume operations (claims, customer service, enrollment and billing); 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. 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 positions.

REQNUMBER: PS48718-California

Keywords: Anthem, Inc, Apple Valley , Fin Ops Recovery Process Spec, Other , Apple Valley, California

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