Audit and Reimbursement Analyst

Welcome to Elevance Health, where our mission is to provide innovative and cost-effective healthcare solutions for our clients. We are currently seeking a skilled and detail-oriented Audit and Reimbursement Analyst to join our team. In this role, you will play a vital part in ensuring accurate and compliant financial reporting for our organization. If you are a driven and analytical individual with a strong understanding of healthcare reimbursement and auditing, we want to hear from you. Join us in making a positive impact on the healthcare industry and advancing our mission.

1. Conduct audits of healthcare claims and reimbursement processes to ensure accuracy and compliance with industry standards and regulations.
2. Analyze financial data and identify discrepancies or areas for improvement in reimbursement processes.
3. Collaborate with cross-functional teams to develop and implement strategies for improving reimbursement efficiency and accuracy.
4. Monitor changes in healthcare regulations and policies to ensure compliance and make necessary updates to reimbursement processes.
5. Prepare and present reports on audit findings and recommendations to upper management.
6. Maintain detailed documentation of audit processes and findings.
7. Communicate with healthcare providers and clients to resolve any issues or discrepancies in reimbursement.
8. Utilize analytical skills to identify patterns and trends in reimbursement data and make recommendations for process improvements.
9. Stay up-to-date on industry best practices and participate in continuous education and training to maintain expertise in healthcare reimbursement and auditing.
10. Work with the finance team to ensure accurate and timely financial reporting related to reimbursements.
11. Contribute to the overall mission of Elevance Health by ensuring the delivery of innovative and cost-effective healthcare solutions to our clients.

According to JobzMall, the average salary range for a Audit and Reimbursement Analyst in Houston, TX, USA is $62,000 - $83,000 per year. However, this can vary based on a variety of factors such as experience, education, and the specific company or organization the individual is working for.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.