Columbus, Georgia

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.

Job Description

Responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise.  Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. Individuals who are detail-oriented and get excited about uncovering opportunities to improve the customer experience are the perfect fit for this exciting opportunity. We are seeking individuals who have experience with auditing or processing healthcare claims and knowledge of group contracts, including benefits. 

Primary duties may include, but are not limited to:  

  • Assists higher level auditor/lead on field work as assigned and acts as auditor in charge on small and less complex audits.
  • Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
  • Demonstrates ability to audit multiple lines of business, multiple functions, and multiple systems.
  • Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those risks.
  • Works closely with the business to provide consultation and advice to management related to policy and procedure identified as out of date or incomplete and investigates, develops and recommends process improvements and solutions.
  • Functions as a subject matter expert for discrepancy review, questions from team and business partners, and interpretation of guidelines and audit process.
  • Acts as a mentor to peer auditors, providing training and managing work and projects as necessary.

Qualifications

Qualifications

  • Requires a BS/BA; a minimum of 3 years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; 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.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

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. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
 

Columbus, Georgia

If you are active-duty military, reserve, or a military veteran, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Anthem — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time. 

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military 

WE ARE HIRING

Anthem, Inc. is currently seeking military veterans and military spouses for a variety of open tech based roles.  Our immediate needs are in IT support, cyber security, maintenance of digital and automation systems, and network specialists. These roles include Support Technical Engineer, Lead Engineer, Developer, Systems Analyst, Network Data Specialist, and Provider Network Manager roles.  Whether you are looking to transition into an IT career or if you have experience under your belt in the Technology field, Anthem wants to have an impact on your career and professional growth by speaking with you about their career opportunities.

Employee Benefits:

  • Paid Time Off
  • Dental Insurance Plan
  • Medical Insurance Plan
  • Employee Assistance Program
  • Flexible Spending Account
  • Life Insurance
  • 401(k) plan
  • Adoption Assistance
  • New Parent Transition Week
  • Parental Leave
  • Critical Caregiving Leave
  • Back-to-School Assistance
  • Sick Leave

What Happens After I Apply?

Once you click ‘Apply Now’ on an Applied Materials job posting, you will either be re-directed to fill out an application on Applied Materials' career page or be given a confirmation of submission.  If you get redirected, please complete the application on the career page and make sure you have an updated resume uploaded to your RecruitMilitary profile.  Once Applied Materials reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.

How to Win An Interview

1.     Review the job description for the specific position you are applying for.

2.     Review the company website. Know their mission and values. What do they do? What are their products?

3.     Prepare a few questions to ask on your interview.

4.     Prepare to discuss your military or civilian background and how it relates to the position. 

5.     Check out the RecruitMilitary Resources tab for resume guidance, interview prep and more!

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