Description
SHIFT: Day Job
SCHEDULE: Full-time
Your Talent. Our Vision. At America’s First Choice , a proud member of the Anthem, Inc. family of companies, 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.
This position is responsible for performing routine but varied clerical duties in accordance with CMS guidelines and departmental standard procedures.
Clerk Responsibilities:
• Receives Appeals via multiple avenues of receipt, sorts, classifies, forwards, reconciles, consolidates, and summarizes documents
• Makes and receives phone calls to exchange information to accomplish tasks. Maintains individual in accordance with reconciliation procedures.
• Reviews daily reports, correcting errors using established formats and procedures.
• Outreach to Member or Provider’s regarding missing or invalid information.
• Responsible for maintaining accurate document archiving, in accordance with established procedures.
• Verifies unrecognized characters and flags quality issues as they arise.
• Provides daily detailed inventory counts.
Qualifications
Clerk Qualifications:
• High School diploma or GED equivalent from an accredited institution.
• 2-3 years of related work experience; or any combination of education and experience, which would provide an equivalent background.
• Attention to Detail.
• Analytical thought process.
• Medicare knowledge and terminology.
• Intermediate knowledge of all Microsoft platforms.
• Self-reliant on Outlook as the main form of communication, deliverables and communicating with internal business partners.
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.