Audit and Reimbursement Analyst

Welcome to Elevance Health! We are a dynamic and rapidly growing healthcare company seeking a highly motivated and detail-oriented Audit and Reimbursement Analyst to join our team. As an Audit and Reimbursement Analyst, you will play a critical role in ensuring the accuracy and compliance of our financial processes and reimbursements. In this role, you will work closely with cross-functional teams to analyze and audit healthcare claims, identify areas for improvement, and make recommendations for operational and financial efficiencies. We are looking for a candidate who is passionate about healthcare and has a strong background in auditing and reimbursement. If you are a self-starter with excellent analytical skills and a keen eye for detail, we would love to have you on our team!

1. Conduct thorough audits of healthcare claims to ensure accuracy and compliance with industry standards and regulations.
2. Collaborate with cross-functional teams to identify areas for improvement in financial processes and reimbursement procedures.
3. Utilize strong analytical skills to analyze data and identify trends or patterns in healthcare claims.
4. Make recommendations for operational and financial efficiencies based on audit findings.
5. Ensure timely and accurate reimbursement of healthcare claims by working closely with insurance providers.
6. Keep up-to-date with industry regulations and standards to ensure compliance in all financial processes.
7. Develop and maintain strong relationships with insurance providers to facilitate effective communication and resolution of any reimbursement issues.
8. Communicate audit findings and recommendations to relevant parties in a clear and concise manner.
9. Continuously monitor and evaluate financial processes to identify potential areas of risk and develop strategies to mitigate them.
10. Maintain accurate and organized documentation of all audit findings and actions taken.
11. Participate in training and development programs to stay updated on industry changes and advancements in auditing and reimbursement practices.
12. Collaborate with the finance team to ensure accurate and timely reporting of financial data.
13. Adhere to company policies, procedures, and ethical standards at all times.
14. Act as a subject matter expert in auditing and reimbursement practices, providing guidance and support to team members as needed.
15. Demonstrate a strong commitment to the company's mission and values, and contribute to a positive and professional work environment.

According to JobzMall, the average salary range for a Audit and Reimbursement Analyst in Chicago, IL, USA is between $60,000 and $90,000 per year. This can vary depending on factors such as experience, education, and the specific company or organization the analyst works 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.