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Data Entry Operator I - Virginia Beach, VA - PS4535

Description

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 benefits companies and a Fortune Top 50 Company.

Data Entry Operator I:

Virginia Beach, VA

Responsible for operating a data entry device to key and/or verify a variety of standard and/or complex coded or un-coded business and statistical source data into a computer.

Primary duties may include, but are not limited to:

  • Performs daily reconciliation of customer claims, requests account adjustments.
  • Reviews, Analyzes and Triages Correspondence (claim disputes, appeals, authorization requests etc.) from Members & Providers.
  • Utilizes documented guidelines and multiple tools to research and analyze the Correspondence. Routes to appropriate teams for further review & determination.
  • Provides superior quality outcomes by taking ownership of work items to ensure timely resolution or follow-up.
  • Achieves and maintains an accuracy rate of 98%.
Qualifications
  • Requires a high school diploma/GED, or any combination of education and experience, which would provide an equivalent background.
  • 3 to 5 years' experience working in grievances and appeals, claims, or customer service, familiarity with medical coding and medical terminology.
  • Incumbent must have knowledge of claims operations, services and the various operations of the organization, products, and services.
  • Previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) is required.
  • Good typing and keyboard skills.
  • Good oral and written communication skills.
  • Good problem solving skills.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.



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