Anthem Provider Relation Research Specialist *Future Opportunity* Indianapolis, IN in Indianapolis, Indiana

Provider Relation Research Specialist Future Opportunity Indianapolis, IN

Location: Indianapolis, Indiana, United States

Field: Service Contract Act

Requisition #: 0140084

Post Date: Apr 16, 2018

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.

Provider Enrollment Representative I

Work Location – Indianapolis, IN

Rate of Pay - $15.92 per hour

This posting if for future hiring only.

Provider Relation Research Specialist will be responsible for improving the provider’s relationship with Medicare. Provides quality, accessible and comprehensive service to the Medicare provider community. Provides assistance regarding education and non-routine claim issues. Primary duties may include, but are not limited to:

  • Coordinates communications process on such issues as administrative and medical policy.

  • Develops, maintains, and enhances relations with providers to foster cooperative business relationships.

  • Coordinates prompt claims resolution through direct contact with providers and claims department.

  • Provides assistance with policy interpretation.

  • Researches, analyzes and recommends resolution for provider disputes as well as issues with billing and other practices.

  • Tracks customer service patterns/trends and identifies provider training when appropriate.

  • Assists with incoming calls and responds to complex correspondence inquiries.

  • Requires a H.S. diploma; 3-5 years customer service experience; or any combination of education and experience, which would provide an equivalent background.

  • Extensive experience with Medicare DME, Part A and or Part B policies required.

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 EOE. M/F/Disability/Veteran.