FAQs
Do we support remote work?
Yes, we support remote work in a hybrid format, requiring 1-2 days per week in the office.
What is the main responsibility of the Provider Reimbursement Administrator?
The main responsibility is to ensure accurate adjudication of claims by translating medical policies, reimbursement policies, and clinical editing policies into effective reimbursement criteria.
What are the minimum educational requirements for this position?
A BA/BS degree and a minimum of 2 years of related experience are required, or a combination of education and experience that provides an equivalent background.
Is a coding certification preferred for this role?
Yes, a coding certification is preferred for the Provider Reimbursement Administrator position.
What skills are highly desired for candidates applying for this position?
Proficiency in Excel and analytics, as well as the ability to manipulate data files, are highly desired skills.
What are the preferred qualifications for this position?
A registered nurse with an active license is strongly preferred.
What will the Provider Reimbursement Administrator do regarding claims reviews?
The administrator will perform pre-adjudication claims reviews to ensure proper coding was used, as well as conduct research of claims systems to identify adjudication issues.
What locations are eligible for this position?
Eligible locations include District of Columbia (Washington, DC) and New York.
What is the salary range for this position?
The salary range for this position is $57,456 to $98,496.
Are there benefits offered with this position?
Yes, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contributions, all subject to eligibility requirements.