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Anthem, Inc. SCA EDI Enrollment Specialist-Sen in Denison, Texas

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination. It’s 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.

The SCA EDI Enrollment Specialist-Sen is responsible for completing received EDI Enrollment applications. Analyzes data and defines business requirements and translates into system requirements and plans.

Essential duties to include, but are not limited to:

  • Provides support for all aspects of electronic commerce such as electronic claims submission, electronic remittance advice, and electronic funds transfer. Provides customer support for free software and online inquiry products.

  • Provides consultation to clients and develops recommendation to resolve operations issues related to EDI, error reports, billing, etc.

  • Works with clients regarding the implementation or connectivity related to EDI system.

  • Is competent to work at a complex level on most phases of EDI program implementation.

  • Works with Information Technology for any EDI enhancements or conversion of new accounts.

  • Participates in task forces and special projects.

  • Demonstrated ability to conduct detail research of claims, systems reports, etc.

  • Understanding of Network and telecommunications methodology.

  • Functions independently and has the competencies and knowledge to complete complex assignments.

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. 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.

Qualifications

Work location: Denison, TX or Syracuse, NY

Hour rate: Denison, TX- $ 14.96 Syracuse, NY- $13.98

  • Requires a H.S. diploma; or any combination of education and experience, which would provide an equivalent background.

  • Prior experience with applicable systems required.

  • Previous experience in claims or customer service preferred.

  • Proficient computer skills in Microsoft Word, Excel and databases required.

  • Has the knowledge and experience to complete assignments independently.

  • Capable of meeting time-sensitive deadlines and multi-tasking.

  • Strong organization and planning skills.

  • Strong interpersonal and oral communication skills including professional telephone etiquette.

Preferred Qualifications:

  • Experience in Electronic Data Interchange, Provider Enrollment – highly preferred.

  • Knowledge of Medicare systems preferred.

  • Knowledge of CMS (Center for Medicare & Medicaid Services) regulations and guidelines – highly preferred.

REQNUMBER: PS45477

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